Individual
RACHEL FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
64 DOUBLE HILL RD, BETHLEHEM, CT 06751-1101
(303) 854-8888
Mailing address
16 RICHARD SWEET DR, WOODBRIDGE, CT 06525-1126
(303) 854-8888
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
51267
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49437518
—
CO
Enumeration date
01/24/2007
Last updated
07/11/2014
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