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Dr. John R Fontanilla, MD
Nephrology Physician in Philadelphia, Pennsylvania
NPI 1669688412

John R Fontanilla is a Nephrology Physician based in Philadelphia, PA and is specialized in Nephrology. John R Fontanilla practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for John R Fontanilla is 1669688412 and holds a License No. MT188798 (Pennsylvania).

The current practice location address for John R Fontanilla is 4453 Castor Ave, Philadelphia, PA and can be reached out via phone at 215-744-2266 and via fax at 215-743-9247.

Location: 4453 Castor Ave, Philadelphia, PA, 19124-3846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669688412
Provider Name
John R Fontanilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4453 Castor Ave, Philadelphia, PA, 19124-3846
Phone Number
215-744-2266
Fax Number
215-743-9247
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007278000113 01 PA TPI MEDICAID GROUP
CD4829 01 PA TPI RAILROAD MEDICARE GROUP ID
597586 01 PA TPI MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
4453 Castor Ave
City
Philadelphia
State
Pennsylvania
Zip
19124-3846
Phone Number
215-744-2266
Fax Number
215-743-9247
person
Provider Business Mailing Address Details
Address
4453 Castor Ave
City
Philadelphia
State
Pennsylvania
Zip
19124-3846
Phone Number
215-744-2266
Fax Number
215-743-9247
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD445193 (Pennsylvania)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
MT188798 (Pennsylvania)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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