Healthcare Provider Details
I. General information
NPI: 1578596573
Provider Name (Legal Business Name): ESTHER FORRESTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 08/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2041 GEORGIA AVE NW
WASHINGTON DC
20060-0001
US
IV. Provider business mailing address
2024 GEORGIA AVE NW
WASHINGTON DC
20001-3027
US
V. Phone/Fax
- Phone: 202-865-3028
- Fax: 202-865-6920
- Phone: 202-595-3223
- Fax: 202-332-2985
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD33238 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: