| Carlos Fonseca Medical Center Pc | |
|
526 Penn St Reading PA 19602-1096 | |
| (610) 375-3000 | |
| (610) 372-8030 |
| Full Name | Carlos Fonseca Medical Center Pc |
|---|---|
| Speciality | General Practice |
| Location | 526 Penn St, Reading, Pennsylvania |
| Authorized Official Name and Position | Uta Angela Noller (BUSINESS MANAGER) |
| Authorized Official Contact | 6103757073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Fonseca Medical Center Pc 526 Penn St Reading PA 19602-1096 Ph: (610) 375-3000 | Carlos Fonseca Medical Center Pc 526 Penn St Reading PA 19602-1096 Ph: (610) 375-3000 |
| NPI Number | 1720404999 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720404999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD006646E (Pennsylvania) | Secondary |
| 208D00000X | General Practice | MD034593E (Pennsylvania) | Primary |
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