MICHAEL FORTGANG

DANBURY, CT
NPI1255349700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: CT  027366)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
Dr. MICHAEL FORTGANG M.D.
36 TAMARACK AVE PBM 118
DANBURY, CT 06811-4822
Phone number: 203-739-7532
Mailing Address
Dr. MICHAEL FORTGANG M.D.
230 SAUGATUCK AVE
WESTPORT, CT 06880-6401
Phone number: 203-739-7532
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