Individual
STEPHEN J FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4155
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
23382
MS
207VM0101X
Maternal & Fetal Medicine Physician
G7207
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD.09521R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113440
—
MS
05
—
1953717
—
LA
05
—
8895NO
—
TX
Enumeration date
05/11/2006
Last updated
04/27/2018
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