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Individual
DR. THOMAS P FORRESTAL JR.
Active
Individual
DR. THOMAS P FORRESTAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35049982-F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0541597
—
OH
01
—
836068
BWC PROVIDER NUMBER
OH
Enumeration date
10/27/2005
Last updated
03/25/2008
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