Individual
EDMUND JOHN FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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