Provider Demographics
NPI:1255006557
Name:FORTINI, DANIELLE FRANCESCA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:FRANCESCA
Last Name:FORTINI
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:98 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2015
Mailing Address - Country:US
Mailing Address - Phone:862-219-8111
Mailing Address - Fax:
Practice Address - Street 1:501 STATE ROUTE 10
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9667
Practice Address - Country:US
Practice Address - Phone:973-584-6751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical