Individual
DR. ANNE MARIE SOPHIA FORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7929
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7929
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
214456
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303546
—
MA
Enumeration date
02/10/2006
Last updated
11/19/2012
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