Vincent P Fortunato MD LLC
NPI #1033424809 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1033424809
- Entity Type
- Organization
- Organization Name
- Vincent P Fortunato MD LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 17, 2010
- Last Updated
- Aug 17, 2010
Practice Location
- Address
- 10004 KENNERLY RD
- Address 2
- 255A
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2141
- Phone
- (314) 843-5140
Authorized Official
- Name
- DR. VINCENT FORTUNATO, M.D.
- Title
- PRESIDENT
- Phone
- (314) 843-5140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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