Individual
EDMUND JOHN FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MILFORD ST, SALISBURY, MD 21804-6952
(410) 749-9290
(410) 543-9087
Mailing address
101 MILFORD ST, SALISBURY, MD 21804-6952
(410) 749-9290
(410) 543-9087
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0036073
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000102201
—
DE
05
—
006356231
—
VA
01
—
20885
MAMSI
—
05
—
276801100
—
MD
01
—
352275
CAREFIRST BCBS
MD
01
—
4410369
AETNA
—
01
—
T6990003
CAREFIRST BLUE CHOICE
MD
Enumeration date
12/14/2006
Last updated
04/14/2014
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