Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 73203 | MA |
Y | 208600000X | Surgeon | 73203 | MA |
N | 208D00000X | General Practice Physician | 73203 | MA |
NPI | 1043286958 |
---|---|
Provider Name | Dr. Carlos A Fonts |
First Address | Hyannis, MA 02601-3007 |
Second Address | Hyannis, MA 02601-3007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 02/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000029644 | BOSTO MEDICAL HEALTH PLAN (01) | MA |
020028374 | RAILROAD MEDICARE (01) | MA |
30421 | CHILDRENS MED SEC PLAN (01) | MA |
3067491 | (05) | MA |
738720 | TUFTS HEALTH PLAN (01) | MA |
801558 | HARVARD PILGIM HEALTH CAR (01) | MA |
B20373801 | CIGNA (01) | MA |
E22544 | (02) | |
J09897 | BCBS (01) | MA |