Provider Demographics
NPI:1770788085
Name:FORLENZA, GREGORY PETER (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:PETER
Last Name:FORLENZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1775 AURORA CT
Mailing Address - Street 2:MS #A140
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2536
Mailing Address - Country:US
Mailing Address - Phone:303-724-2323
Mailing Address - Fax:303-724-6779
Practice Address - Street 1:1775 AURORA CT
Practice Address - Street 2:MS #A140
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2536
Practice Address - Country:US
Practice Address - Phone:303-724-2323
Practice Address - Fax:303-724-6779
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN561572080P0205X
GA675662080P0205X
FLME 1095902080P0205X
CO487382080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFJ565ZMedicare PIN