MANUEL FONSECA

BOSTON, MA
NPI1184286122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  11001507)
Enumeration Date2019-06-30
Last Update Date2023-11-27
Business Address
Mr. MANUEL FONSECA MSN, FNP-C
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-7000
Mailing Address
Mr. MANUEL FONSECA MSN, FNP-C
11737 ANHINGA DR
WELLINGTON, FL 33414-5807
Phone number: 352-215-1501