Christopher Neil Fortner MD, PHD

NPI 1104084078 - Pediatrics - 2080P0214X

NPI Details
NPI 1104084078
Gender Male
Enumeration Date 05/28/2008
Last Updated 08/31/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
750 E ADAMS ST
SYRACUSE NY, 13210-2342, US
Phone (315) 464-5450
Fax (315) 464-6322
Business Location
750 E ADAMS ST
SYRACUSE NY, 13210-2342, US
Phone (315) 464-5450
Fax (315) 464-6322
Toxanomy
Taxonomy Code 2080P0214X
License State North Carolina
License Number 110562
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According to our database, Christopher Neil Fortner MD, PHD NPI is 1104084078, taxonomy code is 2080P0214X and license number is 110562, license state is located at North Carolina. Christopher Neil Fortner MD, PHD physically located at 750 E Adams St, Syracuse NY, 13210-2342. NPI Number Christopher Neil Fortner MD, PHD has the Individual type.

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1104084078 NPI number is provided on an as is basis without warranty of any kind. 1104084078 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Neil Fortner MD, PHD are for informational purposes only.