Individual
CYNTHIA A FORKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 482-7800
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Q9995
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD25287
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Q9995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285924795
—
ME
Enumeration date
04/18/2011
Last updated
01/05/2022
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