# FORNANCE PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ENDOCRINE ASSOCIATES OF FORNANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114206604
- **Authorized official:** VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
- **Authorized official phone:** (484) 622-7391

## Contact information

- **Practice address:** 2010 N BROAD ST STE 100, LANSDALE, PA 19446-1004
- **Practice address phone:** (215) 997-9441
- **Practice address fax:** (215) 997-6730
- **Mailing address:** PO BOX 789967, PHILADELPHIA, PA 19178-9967
- **Mailing address phone:** (484) 622-7395
- **Mailing address fax:** (484) 622-7399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2011
- **Last updated:** 11/15/2018