Organization
ALPHA INTEGRATED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARETH FONTAINE NP (NURSE PRACTITIONER)
(215) 904-7459
Entity
Organization
Contact information
Practice address
8019 FRANKFORD AVE REAR, PHILADELPHIA, PA 19136-2786
(215) 904-7459
(215) 941-7381
Mailing address
8019 FRANKFORD AVE REAR, PHILADELPHIA, PA 19136-2786
(215) 904-7459
(215) 941-7381
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
06/13/2021
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