NPI 1497296537

Benjamin Dale Fortson, MPOCPO

Practitioner Prosthetist Rockville, MD

Practice location

Address: 15200 Shady Grove Rd STE 102, Rockville, MD 20850-3218
Phone: (240) 261-4229
Fax: (240) 261-4489

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO04027 (DE)

Other Prosthetist providers in Maryland →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO005694 (DE)

Other Orthotist providers in Maryland →

Registry record

NPI: 1497296537
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2017
Record last updated: 24 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.