Provider Demographics
NPI:1316974199
Name:FORNO, FRANCIS J JR (DO)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:FORNO
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:172 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1443
Mailing Address - Country:US
Mailing Address - Phone:203-364-1936
Mailing Address - Fax:203-364-0839
Practice Address - Street 1:172 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1443
Practice Address - Country:US
Practice Address - Phone:203-364-1936
Practice Address - Fax:203-364-0839
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT55-0797587OtherNEHCA
CT877-225-0030OtherEMPIRE B.C.
CT040000495CT01OtherANTHEM B.C. & B.S.
CT219791OtherPREFERRED ONE
CT2V2856OtherHEALTHNET
CT2V2856OtherPHS
CT550797587OtherHEALTH CONNECTICUT
CT550797587OtherWAUSAU
CTP2800785OtherOXFORD
CT1875943OtherUNITED HEALTHCARE
CT219791OtherWELLCARE
CT001004952Medicaid
CT049500OtherCONNECTICARE
CT2989860OtherAETNA
CT550797587OtherCELTIC
CT5097665OtherAETNA
CT550797587OtherPHCS
CT7006208005OtherCIGNA
CT2989860OtherAETNA
CT5097665OtherAETNA
G75519Medicare UPIN