Individual
DR. PAULO AC FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4500
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD066002L
PA
2086X0206X
Surgical Oncology Physician
Primary
1009
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001729772
—
PA
Enumeration date
02/09/2006
Last updated
10/10/2018
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