Fortunato, David J
Fortunato, David J is an individual health care provider with primary practice located at 75 S Union St Unit 406, Pawtucket RI 02860-3978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fortunato, David J can be contacted via phone (401) 741-3154.Contact Information
Primary practice address
75 S Union St Unit 406
Pawtucket RI 02860-3978
Phone: (401) 741-3154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5244 | Rhode Island |
Profile Details
| NPI number | 1205942646 |
|---|---|
| LBN Legal business name | Fortunato, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | May 16th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205942646 | NPPES |
| Rhode Island | MEDICAID | 900525 | |
| Rhode Island | Other | 5256 | |
| Rhode Island | MEDICAID | DF09421 | |
| Rhode Island | Other | 000812 |
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