Individual
FONS ALEX AMAYE-OBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4212
(607) 336-8466
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4212
(607) 336-8466
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
190017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01605352
—
NY
Enumeration date
11/08/2006
Last updated
05/13/2010
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