Dr BERTRAND BEZANCHONG FONJI is a male medical professional, specializing in General Surgery. He graduated in 2005 from State University Of New York Health Science Center Of Syracuse.
OTTUMWA HEALTH GROUP LLC
1001 PENNSYLVANIA AVE
OTTUMWA
IA
525012186
Tel: 6416827511
| Npi | 1073764403 |
| Pac Id | 9739378456 |
| Professional Enrollment Id | I20161227001672 |
| Last Name | FONJI |
| First Name | BERTRAND |
| Middle Name | BEZANCHONG |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | OTTUMWA HEALTH GROUP LLC |
| Group Practice Pac Id | 3971629924 |
| Number Of Group Practice Members | 32 |
| Line 1 Street Address | 1001 PENNSYLVANIA AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OTTUMWA |
| State | IA |
| Zip Code | 525012186 |
| Phone Number | 6416827511 |
| Hospital Affiliation Ccn 1 | 040154 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH MEDICAL CENTER-CONWAY |
| Hospital Affiliation Ccn 2 | 340151 |
| Hospital Affiliation Lbn 2 | HALIFAX REGIONAL MEDICAL CENTER INC |
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| Professional Accepts Medicare Assignment | Y |
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