Individual
DR. LESLIE M FORMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DUKE UNIVERSITY MEDICAL CTR, DUMC 3516, DURHAM, NC 27710-0001
(919) 668-0205
(919) 681-8627
Mailing address
DUKE UNIVERSITY MEDICAL CTR, DUMC 3516, DURHAM, NC 27710-0001
(919) 668-0205
(919) 681-8627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8933069
—
NC
Enumeration date
10/23/2006
Last updated
01/25/2011
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