Individual
DR. ROGER A FONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 443-1341
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD482663
PA
207Q00000X
Family Medicine Physician
36927
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831266352
—
WI
05
—
3235500
—
WI
Enumeration date
11/29/2006
Last updated
02/12/2024
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