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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALAN ROBERT FORMAN, M.D.

Active Sole Proprietor

DR. ALAN ROBERT FORMAN, M.D. is a Ophthalmology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1174524771 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · PHILADELPHIA, PA

Registration Details

NPI Number
1174524771
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2005 (21.033217122832 yrs)
Last Updated
Jul 23, 2007
Licenses
25MA03043200 (NJ)
MD020547E (PA)
229001 (NY)
Sole Proprietor
Yes

Practice Information

Address
840 WALNUT ST
SUITE 1250
PHILADELPHIA, PA, 191075109
Browse PA providers · Browse ZIP 19107
Phone
8565476600
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in PHILADELPHIA, PA

Name Credential NPI
MR. SALVATORE DESIMONE DO 1083618029
DR. JONATHAN S MYERS M.D. 1023013190
DR. EDWARD ALAN DEGLIN MD 1164428744
DR. PAUL J DRIVER M.D. 1477550002
STEPHEN M SOLL M.D. 1114924701
DAVID S RHO M.D. 1932106440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.