| Doctor Name: | MRS. CAROL FORGIONE |
| NPI Number: | 1356487979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 242272 MA |
| Business Practice Address: | 611a State Road Vineyard Haven, MA - 02568 |
| Business Phone Number: | 5083964400 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2663, EDGARTOWN |
| State: | MA |
| Postal Code: | 025392663 |
| Phone Number: | 5086934400 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 242272 MA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |