Individual
JOEL FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7545 BEECHMONT AVE, CINCINNATI, OH 45255-4222
(513) 206-1320
(513) 232-8483
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 206-1320
(513) 232-8483
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35085847
OH
207UN0901X
Nuclear Cardiology Physician
35085847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360761
ANTHEM
OH
01
—
25-04610
UNITED
—
05
—
2581488
—
OH
05
—
64097819
—
KY
01
—
7304089
AETNA
—
01
—
85847
HUMANA
—
Enumeration date
03/02/2006
Last updated
10/24/2020
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