# DARLENE L FORTH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528082138
- **Authorized official:** DARLENE LOUISE FORTH MD (PRESIDENT)
- **Authorized official phone:** (215) 605-6130

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD069195L | PA | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/26/2009