Robert Glenn Fortin
M.D. | Pediatric Adolescent Medicine | Male
Robert Glenn Fortin, M.D. is a East Brunswick, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Robert Glenn Fortin is
503 Cranbury Rd, East Brunswick, New Jersey - 08816-3612. He can be contacted on phone at
732-390-8400 and fax number 732-390-8970.
Robert Glenn Fortin is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Glenn Fortin is
1932178217 which was assigned by NPPES on 17 Mar, 2006 and it was last updated on 15 Mar, 2017.
Robert Glenn Fortin license number is
MA055583 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Robert Glenn Fortin specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Robert Glenn Fortin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Robert Glenn Fortin |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Robert Glenn Fortin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 503 Cranbury Rd
East Brunswick, NJ, 08816-3612
United States |
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| Phone Number : | 732-390-8400 |
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| Fax Number : | 732-390-8970 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932178217 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Mar, 2006 |
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| Last Updated On : | 15 Mar, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Glenn Fortin are as mentioned. Primary taxonomy code for Robert Glenn Fortin, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA055583 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Robert Glenn Fortin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8222069 | Other | NJ | QUALCARE/GHI NY ID |
| 1545372 | Other | NJ | UNITED ID |
| F06244 | Other | NJ | HEALTHNET ID |
| 222694202 | Other | NJ | TAX ID |
| P2676733 | Other | NJ | OXFORD ID |
| MA055583 | Other | NJ | HIP/PHCS ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 503 Cranbury Rd
East Brunswick, NJ, 08816-3612
United States |
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| Phone Number : | 732-390-8400 |
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| Fax Number : | 732-390-8970 |
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Business Location:
Patients can refer following map for directions to
Robert Glenn Fortin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.