Individual
DR. RENA CHASE FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 LONG RIDGE RD, STAMFORD, CT 06903-4436
(203) 329-7960
(203) 329-7920
Mailing address
1051 LONG RIDGE RD, STAMFORD, CT 06903-4436
(203) 329-7960
(203) 329-7920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036076
CT
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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