Fortin, Robert Glenn

Fortin, Robert Glenn is an individual health care provider with primary practice located at 503 Cranbury Rd , East Brunswick NJ 08816-3612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Fortin, Robert Glenn can be contacted via phone (732) 390-8400.

Contact Information

Primary practice address
503 Cranbury Rd East Brunswick NJ 08816-3612
Phone: (732) 390-8400
Fax: (732) 390-8970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA055583 New Jersey

Profile Details

NPI number 1932178217
LBN Legal business name Fortin, Robert Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 15th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932178217 NPPES
New Jersey Other 1545372 UNITED ID
New Jersey Other 222694202 UNITED ID
New Jersey Other 8222069 UNITED ID
New Jersey Other P2676733 UNITED ID
New Jersey Other F06244 UNITED ID
New Jersey Other MA055583 UNITED ID

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