Fonseca, Angela Marie

Fonseca, Angela Marie is an sole proprietor health care provider with primary practice located at 62 Waldeck St , Dorchester Center MA 02124-1329. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Fonseca, Angela Marie can be contacted via phone (617) 265-2636.

Contact Information

Primary practice address
62 Waldeck St Dorchester Center MA 02124-1329
Phone: (617) 265-2636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Massachusetts

Profile Details

NPI number 1750668539
LBN Legal business name Fonseca, Angela Marie
Credentials LADCI CAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2011
Last updated Nov 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers