Individual
JENNIFER FORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-5633
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02280
MD
Other
Enumeration date
06/13/2006
Last updated
09/12/2012
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