Paul L Fortgang, MD
Otolaryngology in New Haven, Connecticut
1649292566- Practice location
- 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991
- Phone
- 203-865-1185
- Fax
- 203-776-7741
- Last updated
- July 2, 2009
Paul L Fortgang is an Otolaryngology based in New Haven, CT. Paul L Fortgang practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Paul L Fortgang is 1649292566 and holds a License No. 028622 (CT). The current practice location address for Paul L Fortgang is 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991 and can be reached out via phone at 203-865-1185 and via fax at 203-776-7741.
Provider Profile Details
- NPI Number
- 1649292566
- Provider Name
- Paul L Fortgang
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991
- Phone Number
- 203-865-1185
- Fax Number
- 203-776-7741
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 24, 2006
- Last Update Date
- July 2, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Long Wharf Dr
Suite 302
New Haven, CT 06511-5991 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5991
- Phone Number
- 203-865-1185
- Fax Number
- 203-776-7741
Provider Business Mailing Address Details
- Address
- 1 Long Wharf Dr
Suite 302
New Haven, CT 06511-5991 - City
- New Haven
- State
- CT
- Zip
- 06511-5991
- Phone Number
- 203-865-1185
- Fax Number
- 203-776-7741
License Information
- License Number (1)
- 028622
- License State (1)
- CT
- Taxonomy (1)
- Otolaryngology · 207Y00000X · Primary
- License Number (2)
- 028622
- License State (2)
- CT
- Taxonomy (2)
- Otolaryngology, Pediatric Otolaryngology · 207YP0228X
- License Number (3)
- 028622
- License State (3)
- CT
- Taxonomy (3)
- Otolaryngology, Otolaryngic Allergy · 207YX0602X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Paul L Fortgang, MD?
The NPI number of Paul L Fortgang, MD is 1649292566. It was assigned on July 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Paul L Fortgang, MD?
Paul L Fortgang, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in CT under license number 028622.
Where does Paul L Fortgang, MD practice?
The practice location is 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991. The office can be reached at 203-865-1185 (phone) or 203-776-7741 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649292566 directly on the NPPES registry website.