Healthcare Provider Details

I. General information

NPI: 1780376939
Provider Name (Legal Business Name): GIA FRANCESCA FONTANAZZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36450 TIDAL RD UNIT 2
SELBYVILLE DE
19975-4596
US

IV. Provider business mailing address

1515 SAVANNAH RD FL 2
LEWES DE
19958-1675
US

V. Phone/Fax

Practice location:
  • Phone: 302-291-6045
  • Fax: 833-449-3867
Mailing address:
  • Phone: 302-645-3499
  • Fax: 302-644-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0029910
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: