Individual
ALICIA M FORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46 FAIRVIEW AVE STE 334, SKOWHEGAN, ME 04976-1481
(207) 474-6201
(207) 474-0969
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-6201
(207) 474-0969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15760
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972500239
—
ME
01
—
MM941504
MEDICARE PTAN
ME
Enumeration date
07/01/2005
Last updated
06/30/2023
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