NPI 1568984870

Maureen Renee Fort

Practitioner Driver East Stroudsburg, PA

Practice location

Address: 374 Greentree Dr APT A1, East Stroudsburg, PA 18301-3177
Phone: (570) 982-8049

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1568984870
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2017
Record last updated: 10 Jul 2017

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.