Individual
DR. THOMAS STEPHEN FORKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 DUNKLEBERGER RD, WILLIAMSPORT, PA 17701-9292
(570) 321-1178
Mailing address
280 DUNKLEBERGER RD, WILLIAMSPORT, PA 17701-9292
(570) 321-1178
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD021932E
PA
207Q00000X
Family Medicine Physician
MD021932E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13221
GEISINGER HEALTH PLAN
PA
01
—
917990
FIRST PRIORITY HEALTH
PA
01
—
B36219
HEALTH AMERICA
PA
Enumeration date
09/24/2006
Last updated
05/09/2011
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