Individual
RICHARD E FORTIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 PINELAND DR, NEW GLOUCESTER, ME 04260-5124
(207) 688-8700
(207) 688-8701
Mailing address
60 PINELAND DR, NEW GLOUCESTER, ME 04260-5124
(207) 688-8700
(207) 688-8701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8000
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002189
STAR NUMBER
ME
05
—
203580000
—
ME
Enumeration date
06/26/2006
Last updated
03/23/2010
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