Individual
FONDERRE LIONEL MUSONGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
19-21 FAIR LAWN AVE STE 2C, FAIR LAWN, NJ 07410-2337
(201) 479-4596
(201) 499-7938
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ01446000
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01446000
NJ
Other
Enumeration date
08/07/2013
Last updated
06/16/2025
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