Robert D. Fortino D.O.

NPI 1104939578 - Internal Medicine - 207R00000X

NPI Details
NPI 1104939578
Gender Male
Enumeration Date 08/17/2006
Last Updated 05/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1913 S BROAD ST
1ST FLOOR
PHILADELPHIA PA, 19148-2216, US
Phone (215) 336-8000
Fax
Business Location
1913 S BROAD ST
1ST FLOOR
PHILADELPHIA PA, 19148-2216, US
Phone (215) 336-8000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Delaware
License Number C2-0005782
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According to our database, Robert D. Fortino D.O. NPI is 1104939578, taxonomy code is 207R00000X and license number is C2-0005782, license state is located at Delaware. Robert D. Fortino D.O. physically located at 1913 S Broad St, Philadelphia PA, 19148-2216. NPI Number Robert D. Fortino D.O. has the Individual type.

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1104939578 NPI number is provided on an as is basis without warranty of any kind. 1104939578 is maintained by the National Plan & Provider Enumeration System. The contents of Robert D. Fortino D.O. are for informational purposes only.