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Individual

MR. DAVID A FONTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
701 OSTRUM ST, SUITE 603, FOUNTAIN HILL, PA 18015-1155
(484) 526-3990
(610) 868-2915
Mailing address
701 OSTRUM ST, SUITE 603, FOUNTAIN HILL, PA 18015-1155
(484) 526-3990
(610) 868-2915

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050685
PA

Other

Enumeration date
10/25/2005
Last updated
07/07/2014
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