Individual
DR. DOUGLAS LEE FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852-3202
(301) 881-7770
(301) 984-8601
Mailing address
11210 OLD GEORGETOWN RD, NORTH BETHESDA, MD 20852-3202
(301) 881-7770
(301) 984-8601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0052044
MD
Other
Enumeration date
06/02/2006
Last updated
05/04/2026
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