Forman, Jeffrey S.

Forman, Jeffrey S. is an sole proprietor health care provider with primary practice located at 1233 Haddonfield-Berlin Rd. Unit 5, Voorhees NJ 08043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Forman, Jeffrey S. can be contacted via phone (856) 767-7800.

Contact Information

Primary practice address
1233 Haddonfield-Berlin Rd. Unit 5 Voorhees NJ 08043
Fax: (856) 767-7833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA05362500 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA053625 New Jersey

Profile Details

NPI number 1427056050
LBN Legal business name Forman, Jeffrey S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Oct 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427056050 NPPES
Other 942683 UNITED HEALTHCARE
Other 01000291200 UNITED HEALTHCARE
Other 577563 UNITED HEALTHCARE
Other 0116068 UNITED HEALTHCARE
Other 2323931000 UNITED HEALTHCARE
Other JS197 UNITED HEALTHCARE
Other 0669592003 UNITED HEALTHCARE
MEDICAID 5487102 UNITED HEALTHCARE
Other F12106 UNITED HEALTHCARE

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