Vivian Andrew Fonseca, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in New Orleans, LA. Individual provider (NPI-1).
NPI number1346356037
StatusActive
Last updated in NPPESJan 24, 2012
Details
- NPI
- 1346356037
- Entity type
- Individual (NPI-1)
- Name
- Vivian Andrew Fonseca
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Jan 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 12686R | LA | Yes |
Practice location
1430 Tulane AveSl 53
New Orleans, LA 70112-2632
Phone 504-988-4026 · Fax 504-988-6271
Mailing address
1430 Tulane AveSl 53
New Orleans, LA 70112-2632
Phone 504-988-4026 · Fax 504-988-6271
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