Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER FONSECA, M.D.
Active Sole ProprietorDR. PETER FONSECA, M.D. is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in BRIDGETON, Missouri. NPI 1760483101 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · BRIDGETON, MO
Registration Details
- NPI Number
- 1760483101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.83000610646 yrs)
- Last Updated
- Nov 5, 2020
- License
-
116658 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12266 DE PAUL DR STE 205BRIDGETON, MO, 630442514Browse MO providers · Browse ZIP 63044
- Phone
- 3146478269
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID A THEODORO | M.D. | 1073518577 |
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.