Individual
RICHARD WALTER FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
830 COUNTY ROAD, POCASSET, MA 02559
(508) 564-9629
(508) 564-9700
Mailing address
66 RIP VAN WINKLE WAY, BUZZARDS BAY, MA 02532
(508) 743-9313
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
131843
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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