Individual
CHRISTY FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2117 MCCOMAS WAY, STE. 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6680
Mailing address
2117 MCCOMAS WAY, STE. 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101048395
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254588
ALLIANCE,MDIPA,MAMSI
VA
01
—
460098
ANTHEM BCBS,HK,HK,FAMIS
VA
01
—
541778786
NC HEALTH
NC
01
—
5417787860392E
CIGNA
VA
01
—
56838
OPTIMA, FAMILY CARE,FAMIS
VI
05
—
6716911
—
VA
05
—
790610P
—
NC
Enumeration date
07/11/2006
Last updated
07/21/2022
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