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Organization

DARLENE L FORTH MD PC

Active
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Organization

DARLENE L FORTH MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE LOUISE FORTH MD (PRESIDENT)
(215) 605-6130
Entity
Organization

Contact information

Practice address
231 N BROAD ST, FIRST FLOOR, PHILADELPHIA, PA 19107-1511
(215) 762-8443
(215) 762-7710
Mailing address
PO BOX 73, BERLIN, NJ 08009-0073
(215) 762-8443
(215) 762-7710

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD069195L
PA

Other

Enumeration date
07/27/2006
Last updated
08/26/2009
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