Leo J Fontana, M.D. Valid NPI

Individual provider · Diagnostic Radiology Physician · Avenel, NJ

NPI

1194722637

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

25MA05939000 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2005-06-30

Last updated

2008-04-16