Fontanazza, Paul

Fontanazza, Paul is an individual health care provider with primary practice located at 450 Bergen St , Harrison NJ 07029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fontanazza, Paul can be contacted via phone (973) 484-6900.

Contact Information

Primary practice address
450 Bergen St Harrison NJ 07029
Fax: (973) 484-0029
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32061 New Jersey

Profile Details

NPI number 1225041965
LBN Legal business name Fontanazza, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 7th, 2023 - about last year

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 1225041965 NPPES
New Jersey Other D02037000 CDS

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