Individual
DR. JULIE MARIANNE FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 837-0727
Mailing address
2 OGLE RD, OLD TAPPAN, NJ 07675-7022
(201) 768-9178
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA03815900
NJ
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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