Camille Fontaine, M.D.
Anesthesiology in Bronx, NY. Individual provider (NPI-1).
NPI number1265828107
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1265828107
- Entity type
- Individual (NPI-1)
- Name
- Camille Fontaine
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2015
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 305487 | NY | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | 305487 | NY |
Practice location
111 E 210th StBronx, NY 10467-2401
Phone 187-920-4316 · Fax 718-881-2245
Mailing address
111 E 210th StBronx, NY 10467-2401
Phone 187-920-4316 · Fax 718-881-2245
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