DR. Michael Fortgang, M.D.
NPI #1255349700 in Danbury, Connecticut
Provider Information
- NPI Number
- 1255349700
- Entity Type
- Individual
- Name
- DR. Michael Fortgang, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 36 TAMARACK AVE
- Address 2
- PBM 118
- City
- Danbury
- State
- Connecticut
- ZIP Code
- 06811-4822
- Phone
- (203) 739-7532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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