Organization
CARLOS FONSECA MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. UTA ANGELA NOLLER (BUSINESS MANAGER)
(610) 375-7073
Entity
Organization
Contact information
Practice address
526 PENN ST, READING, PA 19602-1096
(610) 375-3000
(610) 372-8030
Mailing address
526 PENN ST, READING, PA 19602-1096
(610) 375-3000
(610) 372-8030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MD006646E
PA
208D00000X
General Practice Physician
Primary
MD034593E
PA
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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