NPI 1760483101

Peter Fonseca, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Bridgeton, MO

Practice location

Address: 12266 de Paul Dr STE 205, Bridgeton, MO 63044-2514
Phone: (314) 647-8269
Mailing address: PO Box 955534, Saint Louis, MO 63195-5534

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 116658 (MO)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Missouri →

Registry record

NPI: 1760483101
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2005
Record last updated: 5 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.