Forman, Alan Robert

Forman, Alan Robert is an sole proprietor health care provider with primary practice located at 840 Walnut St Suite 1250, Philadelphia PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Forman, Alan Robert can be contacted via phone (856) 547-6600.

Contact Information

Primary practice address
840 Walnut St Suite 1250 Philadelphia PA 19107-5109
Phone: (856) 547-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA03043200 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD020547E Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 229001 New York

Profile Details

NPI number 1174524771
LBN Legal business name Forman, Alan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Jul 23rd, 2007 - about 19 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 1174524771 NPPES
Pennsylvania Other 762722 HIGHMARK BLUE SHIELD

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