# 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:** EINSTEIN PHYSICIANS-SHANNONDELL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073904108
- **Authorized official:** VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
- **Authorized official phone:** (484) 622-7391

## Contact information

- **Practice address:** 20000 SHANNONDELL DR, AUDUBON, PA 19403-5653
- **Practice address phone:** (484) 622-6401
- **Mailing address:** 20000 SHANNONDELL DR, AUDUBON, PA 19403-5653
- **Mailing address phone:** (484) 622-6401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 10/30/2018