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Individual

DR. MARK P FORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
376 W 10TH AVE, 760 PRIOR HALL, COLUMBUS, OH 43210-1280
(614) 293-8305
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2046
(614) 293-4078

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
124148
OH
207P00000X
Emergency Medicine Physician
260155
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
OH
Enumeration date
05/01/2007
Last updated
04/10/2015
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