MEDICARE: DR. KATHLEEN GIRARD FORTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	150798	MA

General Provider Information

NPI Number	:	1548251176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN GIRARD FORTIN MD

Provider Business Mailing Address
First Line	:	PO BOX 9142
Second Line	:	MASS GENERAL PHYSICIAN ORGANIZATION
City	:	CHARLESTOWN
State	:	MA
Zip	:	02129-9142
Country	:	US
Telephone Number	:	617-724-0287
Fax Number	:	617-726-2894

Provider Business Practice Location Address
First Line	:	955 MAIN ST
Second Line	:	SUITE 106 PEDIATRICIANS INC
City	:	WINCHESTER
State	:	MA
Zip	:	01890-1961
Country	:	US
Telephone Number	:	781-729-4262
Fax Number	:	781-729-0692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1194723593 — MRS. STEFANIE LYNNE DELANEY PA-C
Practice Location Address:

955 MAIN ST , SUITE G6
WINCHESTER, MA
01890-1961

Practice Phone: 781-729-4878
Practice Fax: 781-729-5989

1588662985 — DR. MICHAEL C ZASLOW M.D.
Practice Location Address:

955 MAIN STREET , SUITE 302
WINCHESTER, MA
01890-1961

Practice Phone: 781-729-8070
Practice Fax: 781-721-0338

1740289115 — EDWARD A RYAN, MD, PC
Practice Location Address:

955 MAIN ST , STE 108
WINCHESTER, MA
01890-1961

Practice Phone: 781-721-0447
Practice Fax: 781-721-2250

1083613186 — EDWARD A RYAN MD
Practice Location Address:

955 MAIN ST , STE 108
WINCHESTER, MA
01890-1961

Practice Phone: 787-721-0447
Practice Fax: 781-721-2250

1588646715 — ROBERT J OBRIEN JR MD & ASSOC PC
Practice Location Address:

955 MAIN ST , SUITE G 6
WINCHESTER, MA
01890-1961

Practice Phone: 781-729-4878
Practice Fax: 781-729-5989

1235112863 — DR. SCOTT GWON SCHLUTER MD
Practice Location Address:

955 MAIN ST , PEDIATRICIANS INC
WINCHESTER, MA
01890-1961

Practice Phone: 781-729-4262
Practice Fax: 781-729-0692

Directions to “ DR. KATHLEEN GIRARD FORTIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.