Individual provider · Type 1 NPI

Peter Fonseca, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Bridgeton, MO

NPI number 1760483101 Active

Practice location

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514

Call (314) 647-8269 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 10004 Kennerly Rd, Suite 345A, St. Louis, MO 63128-2141 · (314) 543-5252

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X116658 (MO)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1760483101

Peter Fonseca, MD's National Provider Identifier is 1760483101, issued on Aug 9, 2005. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Bridgeton, MO. The record was last updated on Nov 5, 2020.