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Search › Pennsylvania › 152W00000X

Albert Fonticoba, OD

NPI 1093710402 · on the registry since 2005

Practice

Address
330 W Oregon Ave
Philadelphia, PA 19148
Phone
(215) 463-5889
Fax
(215) 755-6959
Organisation at this address
Img Optical
Pathmark Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania