Provider Demographics
NPI:1477990612
Name:FORAN, CHRISTOPHER PAUL (MD,)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:FORAN
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 808 BOX 3033
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09618-0031
Mailing Address - Country:US
Mailing Address - Phone:323-709-6575
Mailing Address - Fax:
Practice Address - Street 1:U.S. NAVAL HOSPITAL NAPLES
Practice Address - Street 2:VIA CONTRADA BOSCARIELLO, GRICIGNANO DI AVERSA
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:81030
Practice Address - Country:US
Practice Address - Phone:314-629-6775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133153208600000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program