Individual
MR. SIMON FORTIN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST (YALE NEW HAVEN HOSPITAL), NEW HAVEN, CT 06510
(203) 688-4242
Mailing address
28 CHEMIN DE LA VALLEE, CHELSEA, QUEBEC J9B1M-3
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
01087143A
IN
Other
Enumeration date
07/01/2022
Last updated
02/10/2023
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