Individual provider · Type 1 NPI

Michael Fortgang, MD

Specialist · Danbury, CT

NPI number 1255349700 Active

Practice location

36 Tamarack Ave, Pbm 118
Danbury, CT 06811-4822

Fax (203) 743-2610

Mailing address

230 Saugatuck Ave
Westport, CT 06880-6401

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X027366 (CT)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255349700

Michael Fortgang, MD's National Provider Identifier is 1255349700, issued on Aug 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Danbury, CT. The record was last updated on Jul 8, 2007.