Dr. Gregg L Fortino, MD
Internal Medicine, Cardiovascular Disease in Haddon Heights, NJ. Individual provider (NPI-1).
NPI number1245282995
StatusActive
Last updated in NPPESDec 10, 2007
Details
- NPI
- 1245282995
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregg L Fortino
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2006
- Last updated
- Dec 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 25MA06066300 | NJ | Yes |
Practice location
210 W Atlantic AveHaddon Heights, NJ 08035-1715
Phone 856-547-0539 · Fax 856-547-3178
Mailing address
120 White Horse PikeSuite 112
Haddon Heights, NJ 08035-1927
Phone 856-547-0539 · Fax 856-547-3178
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