Individual
MRS. BRANDEE FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
739 S WHITE HORSE PIKE STE 1, AUDUBON, NJ 08106-1659
(856) 546-2300
Mailing address
35 WILLIAM PENN CIR, MEDFORD, NJ 08055-3723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00811400
NJ
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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