MEDICARE: DR. JANICE L FORSTER 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	2084P0800X	Psychiatry Physician	MD021863E	PA
2	2084P0804X	Child & Adolescent Psychiatry Physician	MD021863E	PA

General Provider Information

NPI Number	:	1124213798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE L FORSTER MD

Provider Business Mailing Address
First Line	:	333 MAPLE AVENUE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1510
Country	:	US
Telephone Number	:	412-247-5822
Fax Number	:	412-344-7717

Provider Business Practice Location Address
First Line	:	615 WASHINGTON ROAD
Second Line	:	SUITE 107
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1909
Country	:	US
Telephone Number	:	412-247-5822
Fax Number	:	412-344-7717

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

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	09/07/2007

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