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Contact Information

LAURA FORMAN
111 BREWSTER ST
PAWTUCKET, RI02860-4474
 Phone: 401-729-2191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LAURA FORMAN · (Female)

NPI # 1285847467
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2007
Last updated 08/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD12738
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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