Individual
DR. JOHN E FORTUNATO JR.
Active
Individual
DR. JOHN E FORTUNATO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
036096126
IL
2080P0206X
Pediatric Gastroenterology Physician
2006-00442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036096126
STATE LICENSE
IL
05
—
10409276
—
VA
01
—
188686
MEDCOST
—
05
—
3810007095
—
WV
05
—
5904588
—
NC
01
—
7423644
BCBS
—
01
—
808511
PARTNERS
—
Enumeration date
05/01/2006
Last updated
08/04/2026
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