Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 0711 | SC |
NPI | 1063455640 |
---|---|
Provider Name | David Andrew Forstein |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29605-4247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 02/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
160059949 | RR MEDICARE (01) | SC |
G06687 | (02) | SC |
T00274 | (05) | SC |