Most Relevant Information
Provider Data
| NPI Number: | 1003378746 |
| Provider Name: | AUDREY FONKAM |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | D95110 |
Most Important Dates
| Enumeration Date: | 04/02/2019 |
| Last Updated: | 08/03/2022 |
Provider Practice Location
301 SAINT PAUL ST
BALTIMORE
MD
212022102
Practice Location Phone/Fax
| Phone: | 4103329808 |
| Fax: |
Provider Mailing Location
301 SAINT PAUL ST
BALTIMORE
MD
212022102
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR