Individual
MARK PAUL FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
475 KILVERT ST, WARWICK, RI 02886-1379
(401) 732-7116
(884) 813-8700
Mailing address
179 BLACKROCK RD, COVENTRY, RI 02816-8007
(401) 615-2037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02080
RI
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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