Individual
ERNEST A FORNARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6802 PARAGON PL STE OFC417, RICHMOND, VA 23230-1644
(804) 687-4793
Mailing address
PO BOX 1239, TROY, MI 48099-1239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101027358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041012
ANTHEM
VA
01
—
111949751
RAILROAD MEDICARE
VA
05
—
6088406
—
VA
Enumeration date
02/05/2008
Last updated
11/03/2014
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