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Jake Forman
Vascular Surgery Physician in York, Pennsylvania
NPI 1558721167

Jake Forman is a Vascular Surgery Physician based in York, PA and is specialized in Vascular Surgery. Jake Forman practices in York, PA. The NPI Number for Jake Forman is 1558721167 and holds a License No. FF2923515 (Pennsylvania).

The current practice location address for Jake Forman is 25 Monument Rd Ste 145, York, PA and can be reached out via phone at 717-851-6454.

Location: 25 Monument Rd Ste 145, York, PA, 17402-2231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558721167
Provider Name
Jake Forman
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Monument Rd Ste 145, York, PA, 17402-2231
Phone Number
717-851-6454
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
25 Monument Rd Ste 145
City
York
State
Pennsylvania
Zip
17403-5060
Phone Number
717-851-6454
Fax Number
person
Provider Business Mailing Address Details
Address
25 Monument Rd Ste 145
City
York
State
Pennsylvania
Zip
17403-5060
Phone Number
717-851-6454
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
FF2923515 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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