Paul L Fortgang
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1 Long Wharf Dr Suite 302
New Haven
, Connecticut 06511-5991
Paul L Fortgang
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
1 Long Wharf Dr Suite 302
New Haven
, Connecticut 06511-5991
(203) 776-7741
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Paul L Fortgang
- 1 Long Wharf Dr Suite 302
- New Haven, CT
- Zip : 06511-5991
- Fax : (203) 776-7741
- Phone : (203) 865-1185
Second Address
- Paul L Fortgang
- 1 Long Wharf Dr Suite 302
- New Haven, CT
- Zip : 06511-5991
- Fax : (203) 776-7741
- Phone : (203) 865-1185
Reviews
FAQs
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Is Paul L Fortgang a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 028622 | CT |
| N | 207YP0228X | Pediatric Otolaryngology | 028622 | CT |
National Provider Identifier
| NPI | 1649292566 |
|---|---|
| Provider Name | Paul L Fortgang |
| First Address | New Haven, CT 06511-5991 |
| Second Address | New Haven, CT 06511-5991 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 02/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001286228 | (05) | CT |
| 040001967 | RAILROAD MEDICARE PIN (01) | CT |
| B38995 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.