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1184286122
MANUEL FONSECA
BOSTON, MA
NPI
1184286122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 11001507)
Enumeration Date
2019-06-30
Last Update Date
2023-11-27
Business Address
Mr. MANUEL FONSECA MSN, FNP-C
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-7000
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Mailing Address
Mr. MANUEL FONSECA MSN, FNP-C
11737 ANHINGA DR
WELLINGTON, FL 33414-5807
Phone number: 352-215-1501
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