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Dr. Peter Fonseca, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bridgeton, Missouri
NPI 1760483101

Peter Fonseca is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Saint Louis, MO. Peter Fonseca practices in Bridgeton, MO and has the professional credentials of MD. The NPI Number for Peter Fonseca is 1760483101 and holds a License No. 116658 (Missouri).

The current practice location address for Peter Fonseca is 12266 De Paul Dr Ste 205, Bridgeton, MO and can be reached out via phone at 314-647-8269. You can also correspond with Peter Fonseca through the mailing address at PO BOX 955534, SAINT LOUIS, MO - 63195-5534 (mailing address contact number: ).

Location: 12266 De Paul Dr Ste 205, Bridgeton, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760483101
Provider Name
Peter Fonseca
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12266 De Paul Dr Ste 205, Bridgeton, MO, 63195-5534
Phone Number
314-647-8269
Fax Number
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507190205 05 MO
institution
Provider Business Practice Location Address Details
Address
12266 De Paul Dr Ste 205
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-647-8269
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 955534
City
Saint Louis
State
Missouri
Zip
63195-5534
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
116658 (Missouri)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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