Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OS020529 | PA |
Y | 111NI0900X | Internist | OS020529 | PA |
NPI | 1003344839 |
---|---|
Provider Name | Janet Fontanella |
First Address | Chester, PA 19013-3902 |
Second Address | Chester, PA 19013-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2017 |
Last Update Date | 10/09/2020 |