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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018237560005
—
PA
01
—
0087453000
KEYSTONE
—
05
—
0182375601
—
NJ
01
—
0182375604
AMERICHOICE
—
01
—
090312
BLUE SHIELD
—
01
—
10561
ELDER HEALTH
—
01
—
1744284
HIGHMARK BLUE SHIELD
PA
01
—
2882363
AETNA
—
01
—
30000233
KEYSTONE MERCY
—
01
—
32770MD069195L
HEALTH PARTNERS
—
01
—
3Y4595
PHS HEALTHNET
—
Enumeration date
07/27/2006
Last updated
08/26/2009
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