Individual
ANTHONY LEONARD FORTUNATO
Active
Individual
ANTHONY LEONARD FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
155076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084126A
—
MA
Enumeration date
08/12/2009
Last updated
04/10/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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