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Leo J Fontana, MD
Diagnostic Radiology Physician in Avenel, New Jersey
NPI 1194722637

Leo J Fontana is a Diagnostic Radiology Physician based in Avenel, NJ and is specialized in Diagnostic Radiology. Leo J Fontana practices in Avenel, NJ and has the professional credentials of MD. The NPI Number for Leo J Fontana is 1194722637 and holds a License No. 25MA05939000 (New Jersey).

The current practice location address for Leo J Fontana is 1500 Saint Georges Ave, Avenel, NJ and can be reached out via phone at 732-381-8686 and via fax at 732-499-7724.

Location: 1500 Saint Georges Ave, Avenel, NJ, 07001-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194722637
Provider Name
Leo J Fontana
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Saint Georges Ave, Avenel, NJ, 07001-1000
Phone Number
732-381-8686
Fax Number
732-499-7724
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7103506 05 NJ
institution
Provider Business Practice Location Address Details
Address
1500 Saint Georges Ave
City
Avenel
State
New Jersey
Zip
07001-1000
Phone Number
732-381-8686
Fax Number
732-499-7724
person
Provider Business Mailing Address Details
Address
1500 Saint Georges Ave
City
Avenel
State
New Jersey
Zip
07001-1000
Phone Number
732-381-8686
Fax Number
732-499-7724
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
25MA05939000 (New Jersey)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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