# ALEXANDER J. FORTIER MDPC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396091286
- **Authorized official:** DR. ALEXANDER JOSEPH FORTIER M.D. (PRESIDENT/ OWNER)
- **Authorized official phone:** (860) 667-0207

## Contact information

- **Practice address:** 505 WILLARD AVE, SUITE 2B, NEWINGTON, CT 06111-2650
- **Practice address phone:** (860) 667-0207
- **Practice address fax:** (860) 665-1133
- **Mailing address:** 505 WILLARD AVE, SUITE 2B, NEWINGTON, CT 06111-2650
- **Mailing address phone:** (860) 667-0207
- **Mailing address fax:** (860) 665-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 18165 | CT | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 07/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001181650 | — | CT |
| 01 | — | 1346350501 | DR. FORTIER'S NPI | — |