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Edward Fonseca
Adult Health Nurse Practitioner in Union City, New Jersey
NPI 1801675400

Edward Fonseca is an Adult Health Nurse Practitioner based in Union City, NJ and is specialized in Adult Health. Edward Fonseca practices in Union City, NJ. The NPI Number for Edward Fonseca is 1801675400 and holds a License No. 311410 (New Jersey).

The current practice location address for Edward Fonseca is 620 38Th St Apt 606, Union City, NJ and can be reached out via phone at 210-355-2869.

Location: 620 38Th St Apt 606, Union City, NJ, 07087-1526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801675400
Provider Name
Edward Fonseca
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 38Th St Apt 606, Union City, NJ, 07087-1526
Phone Number
210-355-2869
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 38Th St Apt 606
City
Union City
State
New Jersey
Zip
07087-1526
Phone Number
210-355-2869
Fax Number
person
Provider Business Mailing Address Details
Address
620 38Th St Apt 606
City
Union City
State
New Jersey
Zip
07087-1526
Phone Number
210-355-2869
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
311410 (New York)
Definition
Definition to come...
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