Individual
DAVID FORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
39 BROAD ST, QUINCY, MA 02169-4689
(774) 297-3296
Mailing address
39 BROAD ST, QUINCY, MA 02169-4689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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