Fortunato, Robert P

Fortunato, Robert P is an individual health care provider with primary practice located at 200 Unicorn Park Dr Ste 402 , Woburn MA 01801-3342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fortunato, Robert P can be contacted via phone (603) 943-5580.

Contact Information

Primary practice address
200 Unicorn Park Dr Ste 402 Woburn MA 01801-3342
Fax: (603) 717-7445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 49992 Massachusetts

Profile Details

NPI number 1346205515
LBN Legal business name Fortunato, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 4th, 2018 - about 7 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 1346205515 NPPES
Massachusetts MEDICAID 0175684

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