Individual
DR. JOSEPH JOHN FONAGY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1507 E MARKET ST, WARREN, OH 44483-6611
(330) 369-1511
Mailing address
1507 E MARKET ST, WARREN, OH 44483-6611
(330) 369-1511
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2823181
—
OH
Enumeration date
03/26/2006
Last updated
08/16/2011
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