Individual
MICHAEL J FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES, NEWINGTON, CT 06111
(860) 666-7621
(860) 594-4900
Mailing address
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES, NEWINGTON, CT 06111
(860) 666-7621
(860) 594-4900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026737
CT
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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