Individual
DANIELLE FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-6503
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD459379
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD459379
PA
Other
Enumeration date
04/20/2013
Last updated
10/28/2019
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