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Organization
TRI-CITY EMERGENCY MEDICAL GROUP
Active
Organization
TRI-CITY EMERGENCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FORMAN M.D. (MANAGING PARTNER FOR BUSINESS AFFAI)
(760) 439-1963
Entity
Organization
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-3808
Mailing address
5050 AVENIDA ENCINAS, SUITE 200, CARLSBAD, CA 92008-4381
(760) 439-1963
(760) 268-0931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2006
Last updated
02/06/2014
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