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Individual

MARK A FORTNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
2308 GRAYS FERRY AVE, PHILADELPHIA, PA 19146-1177
(215) 772-0770
(215) 772-0770
Mailing address
744 S CHADWICK ST, PHILADELPHIA, PA 19146-2023
(828) 280-0497

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
283
TN
171100000X
Acupuncturist
Primary
AK001482
PA

Other

Enumeration date
02/28/2016
Last updated
06/02/2026
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