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Individual

FRANK L FORTUNATO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27 PARK ST, CAPE COD HOSPITAL ANESTHESIA DEPT, HYANNIS, MA 02601
(508) 771-1800
(508) 790-4674
Mailing address
110 MAIN ST, UNIT B, HYANNIS, MA 02601-3127
(508) 775-5011
(508) 775-4754

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49668
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2095122
MA
Enumeration date
07/06/2006
Last updated
07/08/2007
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