Healthcare Provider Details

I. General information

NPI: 1477990612
Provider Name (Legal Business Name): CHRISTOPHER PAUL FORAN M.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 08/25/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U.S. NAVAL HOSPITAL NAPLES VIA CONTRADA BOSCARIELLO, GRICIGNANO DI AVERSA
FPO AE
81030
US

IV. Provider business mailing address

PSC 808 BOX 3033
FPO AE
09618-0031
US

V. Phone/Fax

Practice location:
  • Phone: 314-629-6775
  • Fax:
Mailing address:
  • Phone: 323-709-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number133153
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: