Individual
ANDREW FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 QUARRY ST STE 3, QUINCY, MA 02169-4175
(161) 748-1665
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5459
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2021
Last updated
06/02/2021
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