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NPI Code Detail

MEDICARE: ABIGAIL FONTANA

MEDICARE: ABIGAIL FONTANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMD

General Provider Information

NPI Number : 1457219313
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL FONTANA
Provider Business Mailing Address
First Line : 2415 MUSGROVE RD STE 203
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2415 MUSGROVE RD STE 203
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5228
Country : US
Telephone Number : 301-989-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ ABIGAIL FONTANA ” Practice Location

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