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Robert Glenn Fortin, MD
Pediatric Adolescent Medicine Physician in East Brunswick, New Jersey
NPI 1932178217

Robert Glenn Fortin is a Pediatric Adolescent Medicine Physician based in East Brunswick, NJ and is specialized in Adolescent Medicine. Robert Glenn Fortin practices in East Brunswick, NJ and has the professional credentials of MD. The NPI Number for Robert Glenn Fortin is 1932178217 and holds a License No. MA055583 (New Jersey).

The current practice location address for Robert Glenn Fortin is 503 Cranbury Rd, East Brunswick, NJ and can be reached out via phone at 732-390-8400 and via fax at 732-390-8970.

Location: 503 Cranbury Rd, East Brunswick, NJ, 08816-3612
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Provider Profile Details
NPI Number
1932178217
Provider Name
Robert Glenn Fortin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
503 Cranbury Rd, East Brunswick, NJ, 08816-3612
Phone Number
732-390-8400
Fax Number
732-390-8970
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1545372 01 NJ UNITED ID
222694202 01 NJ TAX ID
8222069 01 NJ QUALCARE/GHI NY ID
P2676733 01 NJ OXFORD ID
F06244 01 NJ HEALTHNET ID
MA055583 01 NJ HIP/PHCS ID
institution
Provider Business Practice Location Address Details
Address
503 Cranbury Rd
City
State
Zip
08816-3612
Phone Number
732-390-8400
Fax Number
732-390-8970
person
Provider Business Mailing Address Details
Address
503 Cranbury Rd
City
State
Zip
08816-3612
Phone Number
732-390-8400
Fax Number
732-390-8970
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
MA055583 (New Jersey)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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