NPI 1629397120 · live from the CMS NPI Registry
John Byrne Fournier, M.D.
Student in an Organized Health Care Education/Training Program in New Haven, CT. National Provider Identifier 1629397120, active.
NPI record
| NPI | 1629397120 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 20 York St, New Haven, CT 06510 |
| Practice phone | 203-688-4242 |
| Mailing address | 32 Union St, Newton, MA 02459 |
| Enumerated | May 24, 2010 |
| Last updated | June 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 261760 (MA) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.