MEDICARE: DR. MANUEL F FORERO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD050282L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073591715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL F FORERO MD

Provider Business Mailing Address
First Line	:	2315 MYRTLE ST STE 190
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16502-4604
Country	:	US
Telephone Number	:	814-453-7767
Fax Number	:	814-454-6667

Provider Business Practice Location Address
First Line	:	287 NORTH ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2521
Country	:	US
Telephone Number	:	814-337-2355
Fax Number	:	814-337-3751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	09/30/2020

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