Tabitha B. Fortt, M.D., Llc

LBN: Tabitha B. Fortt, M.D., Llc
Tabitha B. Fortt, M.D., Llc is an health care organization with primary practice located at 37 Glenbrook Rd Suite #3, Stamford CT 06902-2913. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Tabitha B. Fortt, M.D., Llc can be contacted via phone (203) 674-0774, or through Fortt, Tabitha B via phone (203) 674-0774.

Contact Information

Primary practice address
37 Glenbrook Rd Suite #3 Stamford CT 06902-2913
Phone: (203) 674-0774
Fax: (203) 674-0766
Website:
Map and Directions
Authorized official contact:
Name: Fortt, Tabitha B Doctor of Medicine (MD)
Phone: (203) 674-0774

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 037894 Connecticut

Profile Details

NPI number 1235597741
LBN Legal business name Tabitha B. Fortt, M.D., Llc
DBA Doing business as
Authorized official Fortt, Tabitha B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2016
Last updated Feb 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235597741 NPPES
Connecticut MEDICAID 008036735

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