LUCIA FERNANDA FONTALVO-HERAZO

PHILADELPHIA, PA
NPI1841408879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: PA  LT000622)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- LUCIA FERNANDA FONTALVO-HERAZO MD
34TH STREET AND CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-6503
Phone number: 215-590-2575
Mailing Address
-- LUCIA FERNANDA FONTALVO-HERAZO MD
1900 S BROAD ST
PHILADELPHIA, PA 19145-2304
Phone number: 215-590-2575
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