Edmond Michael Fontaine Jr.
Edmond Michael Fontaine Jr. is a Developmental Therapist in Worcester, Massachusetts. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
345 Greenwood St Ste AWorcester, MA 01607-1767
Phone: (508) 363-0200
Fax: (508) 363-1213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1962922153 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 20, 2017 |
| Last updated in NPPES | June 20, 2017 |
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345 Greenwood St Ste A, Worcester, MA 01607-1767 · (508) 363-0200
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345 Greenwood St Ste A, Worcester, MA 01607-1767 · (508) 363-0200