Richard Walter Fontaine NP

NPI 1659466050 - Nurse Practitioner - 363LP2300X

NPI Details
NPI 1659466050
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
830 COUNTY ROAD
POCASSET MA, 02559, US
Phone (508) 564-9629
Fax (508) 564-9700
Business Location
66 RIP VAN WINKLE WAY
BUZZARDS BAY MA, 02532, US
Phone (508) 743-9313
Fax
Toxanomy
Taxonomy Code 363LP2300X
License State Massachusetts
License Number 131843
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According to our database, Richard Walter Fontaine NP NPI is 1659466050, taxonomy code is 363LP2300X and license number is 131843, license state is located at Massachusetts. Richard Walter Fontaine NP physically located at 830 County Road, Pocasset MA, 02559. NPI Number Richard Walter Fontaine NP has the Individual type.

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1659466050 NPI number is provided on an as is basis without warranty of any kind. 1659466050 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Walter Fontaine NP are for informational purposes only.