Lam, Gloria Fontane

Lam, Gloria Fontane is an individual health care provider with primary practice located at 18 E Laurel Rd , Stratford NJ 08084-1327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Lam, Gloria Fontane can be contacted via phone (856) 218-5634.

Contact Information

Primary practice address
18 E Laurel Rd Stratford NJ 08084-1327
Fax: (856) 218-5664
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MB09641100 New Jersey

Profile Details

NPI number 1699038349
LBN Legal business name Lam, Gloria Fontane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Feb 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699038349 NPPES
New Jersey MEDICAID 0466531

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