Organization
CARLOS FONSECA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOELLE J THOMAS (MANAGER)
(610) 375-7073
Entity
Organization
Contact information
Practice address
526 PENN ST, READING, PA 19602-1096
(610) 375-3000
(610) 372-8030
Mailing address
526 PENN ST, READING, PA 19602-1096
(610) 375-3000
(610) 372-8030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD03459E
PA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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