Forth, Anne Marie Sophia

Forth, Anne Marie Sophia is an individual health care provider with primary practice located at 26 Queen St , Worcester MA 01610-2473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Forth, Anne Marie Sophia can be contacted via phone (508) 860-7700.

Contact Information

Primary practice address
26 Queen St Worcester MA 01610-2473
Fax: (508) 860-7929
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 214456 Massachusetts

Profile Details

NPI number 1952374720
LBN Legal business name Forth, Anne Marie Sophia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952374720 NPPES
Massachusetts MEDICAID 1303546

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