| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREW PAUL FORTUGNO | 1811526692 | 2024-06-09 |
Andrew Paul Fortugno is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811526692. Registration indicates Andrew Paul Fortugno is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Dermatology, ) (Allopathic & Osteopathic Physicians, Dermatology) (Specialist Network, ) (Dermatology, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Andrew Paul Fortugno MD |
| Practice Office Address | 510 20TH ST S STE 858 BIRMINGHAM, AL US |
| Practice Office Telephone | 2059345188 |
| Mailing Address | 510 20TH ST S STE 858 BIRMINGHAM, AL 352332028 US |
| Business Telephone | 2059345188 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207N00000X PRIMARY | Dermatology Allopathic & Osteopathic Physicians Dermatology Specialist Network Dermatology Allopathic & Osteopathic Physicians | MD.43426
AL |