Glenn G. Fort, MD

NPI #1114900024 in Woonsocket, Rhode Island

Provider Information

NPI Number: 1114900024
Entity Type: Individual
Name: Glenn G. Fort, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 23, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 115 CASS AVE
Address 2: LANDMARK MEDICAL CENTER
City: Woonsocket
State: Rhode Island
ZIP Code: 02895
Phone: (401) 766-3428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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