Doctor Name: | DR. RODOLFO CATBAGAN FONTANILLA |
NPI Number: | 1326199431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD033908-L |
Business Practice Address: | 703 Cecil B Moore Ave Philadelphia, PA - 191222901 |
Business Phone Number: | 2157639564 |
Business Fax Number: | |
Mailing Address: | 707 Dominion Dr, MOORESTOWN |
State: | NJ |
Postal Code: | 080574404 |
Phone Number: | 8562348072 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD033908-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |