Organization
F. DANA FORTUNATO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN D FORTUNATO MD (PROVIDER/ OWNER)
(973) 744-4075
Entity
Organization
Contact information
Practice address
127 PINE ST, MONTCLAIR, NJ 07042-4855
(973) 744-4075
(973) 744-2179
Mailing address
127 PINE ST, MONTCLAIR, NJ 07042-4855
(973) 744-4075
(973) 744-2179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA32224
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MA3224
NJ
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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