person
Dr. Jillian Lea Fortier, MD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1184945586

Jillian Lea Fortier is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Jillian Lea Fortier practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Jillian Lea Fortier is 1184945586 and holds a License No. 060797 (Connecticut).

The current practice location address for Jillian Lea Fortier is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2147.

Location: 263 Farmington Ave, Farmington, CT, 06030-0001
person
Provider Profile Details
NPI Number
1184945586
Provider Name
Jillian Lea Fortier
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Ave, Farmington, CT, 06030-0001
Phone Number
860-679-2147
Fax Number
Provider Enumeration Date
06/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
State
Zip
06030-1921
Phone Number
860-679-2147
Fax Number
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
State
Zip
06030-1921
Phone Number
860-679-2147
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
060797 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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