Individual
DARLENE FORTH MD PC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD.
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
OS069195L
PA
Other
Enumeration date
12/21/2006
Last updated
08/11/2009
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