# FORNANCE PHYSICIAN SERVICES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Family OB/GYN Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053363523
- **Authorized official:** VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
- **Authorized official phone:** (484) 622-7391

## Contact information

- **Practice address:** 1330 POWELL ST, STE 507, NORRISTOWN, PA 19401-3353
- **Practice address phone:** (484) 622-7300
- **Practice address fax:** (484) 622-7310
- **Mailing address:** PO BOX 789967, PHILADELPHIA, PA 19178-9967
- **Mailing address phone:** (484) 622-7371
- **Mailing address fax:** (484) 622-7399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 11/08/2018