Organization
J.M. FORTINO, MD AMEDICAL CORPORATION
Active
Other names
Children's Clinic A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FORTINO M.D. (OWNER)
(504) 367-8777
Entity
Organization
Contact information
Practice address
1301 WHITNEY AVE, GRETNA, LA 70056-5025
(504) 367-8777
(504) 367-0133
Mailing address
1301 WHITNEY AVE, GRETNA, LA 70056-5025
(504) 367-8777
(504) 367-0133
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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