Diane L Fortunato


Address: 509 Roseville Ave, Newark, NJ 07107-2444
Phone: 9734820339

Diane L Fortunato (NPI# 1053313718, PAC ID# 0749204626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1053313718
PAC ID by PECOS 0749204626
Professional Enrollment ID I20060118000651
Full Name Diane L Fortunato
Address 509 Roseville Ave
Newark
NJ 07107-2444
Phone Number 9734820339
Gender F
Credential MD
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
509 Roseville Ave, Newark, NJ 07107-2444 9734820339

Organization Information

Office Location

Street Address 509 ROSEVILLE AVE
City NEWARK
State NJ
Zip 07107-2444

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Competitor

Search similar physicians

City NEWARK
Zip Code 07107
Specialty INTERNAL MEDICINE
City + Specialty NEWARK + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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