Forman, Mark S

Forman, Mark S is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as his primary health care specialty. Forman, Mark S can be contacted via phone (215) 662-6503.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104
Phone: (215) 662-6503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X MD065988L Pennsylvania

Profile Details

NPI number 1346285871
LBN Legal business name Forman, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 14th, 2011 - about 13 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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