Olimpo Fernando Fonseca, MD Valid NPI

Individual provider · Family Medicine Physician · Duffield, VA

NPI

1265443410

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

0101031676 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-11

Last updated

2007-07-08