Provider Demographics
NPI:1891861100
Name:FORSTER, CAROL A (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:FORSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:QUALITY 2 WEST
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-7194
Mailing Address - Fax:301-816-6829
Practice Address - Street 1:2101 EAST JEFFERSON STREET
Practice Address - Street 2:QUALITY 2 WEST
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4908
Practice Address - Country:US
Practice Address - Phone:301-816-7194
Practice Address - Fax:301-816-6829
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0068588208000000X
VA0101042751208000000X
DCMD039177208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
006989M92Medicare ID - Type Unspecified
F12213Medicare UPIN