Individual
MR. ERIC FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
27 PARK STREET, HYANNIS, MA 02061
(508) 862-7575
(508) 862-7362
Mailing address
130 NORTH ST, HYANNIS, MA 02601-3825
(508) 862-7575
(508) 862-7362
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4057
MA
Other
Enumeration date
10/20/2010
Last updated
12/12/2017
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