Fonseca, Vivian Andrew

Fonseca, Vivian Andrew is an individual health care provider with primary practice located at 1430 Tulane Ave Sl 53, New Orleans LA 70112-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Fonseca, Vivian Andrew can be contacted via phone (504) 988-4026.

Contact Information

Primary practice address
1430 Tulane Ave Sl 53 New Orleans LA 70112-2632
Fax: (504) 988-6271
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 12686R Louisiana

Profile Details

NPI number 1346356037
LBN Legal business name Fonseca, Vivian Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 24th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346356037 NPPES
Louisiana MEDICAID 1654426

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