Paul L Fortgang in New Haven - Otolaryngic Allergy

Paul L Fortgang - NPI 1649292566

Paul L Fortgang is a Otolaryngic Allergy in New Haven, Connecticut. Paul L Fortgang practices all healthcare services and medical treatments related to Otolaryngic Allergy. The NPI Number for Paul L Fortgang is 1649292566. The last update date is 2009-07-02.

Paul L Fortgang's current location address is 1 Long Wharf Dr, New Haven, Connecticut. You can contact this provider via phone number 2038651185 and fax number 2037767741. The mailing address for Paul L Fortgang is 1 Long Wharf Dr, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul L Fortgang
Address 1 Long Wharf Dr, New Haven, Connecticut
Phone Number 2038651185
Fax Number 2037767741
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649292566
Provider Enumeration Date 2006-07-24
Last Updated Date 2009-07-02

Provider Mailing Address Detail

Address 1 Long Wharf Dr
City New Haven
State Connecticut (CT)
Post Code 65115991
Phone Number 2038651185
Fax Number 2037767741

Provider's Primary Taxonomy Detail

Speciality Otolaryngic Allergy
Taxonomy 207Yx0602X
Licence No 28622
Definition:
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40001967 CT RAILROAD MEDICARE PIN
1286228 CT --

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FAQs about Paul L Fortgang

What is the unique 10-digit identifier code issued to Paul L Fortgang by the Centers for Medicare & Medicaid Services?

The Paul L Fortgang has been assigned the NPI (National Provider Identifier) 1649292566 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Paul L Fortgang is physically located?

The Paul L Fortgang is situated at the following address: 1 Long Wharf Dr, New Haven, CT 65115991.

What is the Paul L Fortgang's area of specialization and corresponding taxonomy classification?

The Paul L Fortgang's specialty field is Otolaryngic Allergy, and it falls under the taxonomy code 207Yx0602X, which categorizes healthcare providers based on their specialties.

On what date was the 1649292566 assigned to Paul L Fortgang?

The Paul L Fortgang was issued its 1649292566 on 2006-07-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Paul L Fortgang most recently updated or revised?

The details related to Paul L Fortgang, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-02.

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