Provider Demographics
NPI:1548236482
Name:FORREST, ANDREW I (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:I
Last Name:FORREST
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 1:87 MCGREGOR ST STE 3200
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3766
Mailing Address - Country:US
Mailing Address - Phone:603-622-8665
Mailing Address - Fax:603-622-9735
Practice Address - Street 1:87 MCGREGOR ST STE 3200
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3766
Practice Address - Country:US
Practice Address - Phone:603-622-8665
Practice Address - Fax:603-622-9735
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8839208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHF01030OtherHARVARD PILGRIM HEALTHCAR
NH378716OtherMVP
NH0102012Y0NH01OtherBLUE CROSS/BLUE SHIELD
VT38470OtherBLUE CROSS/BLUE SHIELD
NH437785OtherCIGNA HEALTHCARE
VTORE2449Medicaid
NH30204084Medicaid
F01030Medicare UPIN
NH30204084Medicaid