Individual
RICHARD E FORTIER JR.
Active
Individual
RICHARD E FORTIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
Update your record
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