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Organization
ISADORE P FORMAN DPM LTD
Active
Organization
ISADORE P FORMAN DPM LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R FORMAN DPM (PRESIDENT)
(610) 649-9662
Entity
Organization
Contact information
Practice address
100 E LANCASTER AVE, STE 117, WYNNEWOOD, PA 19096-3450
(610) 649-9662
Mailing address
100 E LANCASTER AVE, STE 117, WYNNEWOOD, PA 19096-3450
(610) 649-9662
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SL002073L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050609302
AMERICHOICE
—
01
—
048258
PERSONAL CHOICE
—
01
—
153388
AMERI HEALTH
—
Enumeration date
10/31/2005
Last updated
01/29/2008
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