Organization
ALEXANDER J. FORTIER MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JOSEPH FORTIER M.D. (PRESIDENT/ OWNER)
(860) 667-0207
Entity
Organization
Contact information
Practice address
505 WILLARD AVE, SUITE 2B, NEWINGTON, CT 06111-2650
(860) 667-0207
(860) 665-1133
Mailing address
505 WILLARD AVE, SUITE 2B, NEWINGTON, CT 06111-2650
(860) 667-0207
(860) 665-1133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18165
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001181650
—
CT
01
—
1346350501
DR. FORTIER'S NPI
—
Enumeration date
07/27/2012
Last updated
07/27/2012
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