Individual
DR. IRWIN H FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 SYCAMORE DR, APT, 202, ELIZABETHTOWN, PA 17022-3008
(717) 569-1545
Mailing address
80 SYCAMORE DR, APT, 202, ELIZABETHTOWN, PA 17022-3008
(717) 569-1545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD031868L
PA
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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