Provider Demographics
NPI:1891756623
Name:FORTI AND CONSEVAGE P.C.
Entity Type:Organization
Organization Name:FORTI AND CONSEVAGE P.C.
Other - Org Name:MARGOLIS, FORTI AND CONSEVAGE P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:TREASURER/SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MINGHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:HE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-652-2224
Mailing Address - Street 1:3705 VARTAN WAY
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-9112
Mailing Address - Country:US
Mailing Address - Phone:717-652-2224
Mailing Address - Fax:717-540-8680
Practice Address - Street 1:3705 VARTAN WAY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9112
Practice Address - Country:US
Practice Address - Phone:717-652-2224
Practice Address - Fax:717-540-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty