Individual
CATHERINE A FONASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 W CENTRAL AVE, TITUSVILLE, PA 16354-1724
(814) 827-3400
(814) 827-3556
Mailing address
569 HAMILTON CORNERS RD, TITUSVILLE, PA 16354-7927
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD040962E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014374000003
—
PA
01
—
P0354608
RAILROAD MEDICARE
PA
Enumeration date
08/31/2006
Last updated
10/23/2007
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