Individual
OLIVIER FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
713 LAMONT ST NW UNIT 312, WASHINGTON, DC 20010-1784
(450) 806-5973
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD210002417
DC
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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