Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN R FONTANILLA, M.D.
Active Sole ProprietorDR. JOHN R FONTANILLA, M.D. is a Nephrology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1669688412 is currently active in the NPPES registry. Verify at CMS.
Nephrology · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1669688412
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.266654168111 yrs)
- Last Updated
- Jul 27, 2012
- Licenses
-
MT188798 (PA)MD445193 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4453 CASTOR AVESUITE BPHILADELPHIA, PA, 191243846Browse PA providers · Browse ZIP 19124
- Phone
- 2157442266
- Fax
- 2157439247
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| KWABENA ADU NTOSO | MD | 1003814807 |
| JOHN D KOETHE | MD | 1194724773 |
| JOEL D GLICKMAN | MD | 1124027727 |
| CHRISTINE BASTL | MD | 1679560452 |
| SERBAN CONSTANTINESCU | MD PHD | 1487641262 |
| ELLIE KELEPOURIS | MD | 1790773547 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.