TERRY WAYNE FONVILLE

NEW YORK, NY
NPI1154488831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  107804)
Enumeration Date2007-01-02
Last Update Date2012-07-31
Business Address
Mr. TERRY WAYNE FONVILLE MD
99 UNIVERSITY PL SUITE 201
NEW YORK, NY 10003-4528
Phone number: 212-222-7516
Mailing Address
Mr. TERRY WAYNE FONVILLE MD
99 UNIVERSITY PL SUITE 201
NEW YORK, NY 10003-4575
Phone number: 212-222-7516
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