Individual
DR. RICHARD ALFONSE FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
320 E NORTH AVE STE 261, PITTSBURGH, PA 15212-4756
(412) 359-3901
(412) 359-4514
Mailing address
320 E NORTH AVE STE 261, PITTSBURGH, PA 15212-4756
(412) 359-3901
(412) 359-4514
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
OS019474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12030949
CAQH
—
Enumeration date
07/31/2008
Last updated
09/30/2020
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