Individual
PAUL D LAFONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MOUNT AUBURN ST, STE 519, CAMBRIDGE, MA 02138-5600
(617) 547-4400
(617) 576-1076
Mailing address
300 MOUNT AUBURN ST, SUITE 519, CAMBRIDGE, MA 02138-5600
(617) 547-4400
(617) 576-1076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
205351
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113476
—
MA
Enumeration date
07/19/2005
Last updated
06/01/2016
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