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Individual

DR. PAUL THOMAS FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
2339 N BROAD ST, COLMAR, PA 18915-9702
(215) 997-4535
(215) 997-4537
Mailing address
2339 N BROAD ST, COLMAR, PA 18915-9702
(215) 997-4535
(215) 997-4537

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007014T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0157937000
KEYSTONE
PA
01
4356965
AETNA PPO
PA
01
456899
BLUE CROSS BLUE SHIELD
PA
01
68633
AETNA
PA
Enumeration date
07/05/2006
Last updated
01/22/2013
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