Individual
DR. AUGUSTE H FORTIN VI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER, NEW HAVEN, CT 06511-4405
(203) 789-4044
(203) 789-3007
Mailing address
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER, NEW HAVEN, CT 06511-4405
(203) 789-4094
(203) 789-3007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034714
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001347146
—
CT
Enumeration date
02/14/2006
Last updated
05/18/2015
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