# FORNANCE PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anesthesia Group Fornance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801876958
- **Authorized official:** KAREN LOWE-ROBBINS (REIMBURSEMENT MANAGER)
- **Authorized official phone:** (484) 622-7382

## Contact information

- **Practice address:** 559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
- **Practice address phone:** (484) 622-1244
- **Practice address fax:** (484) 622-1542
- **Mailing address:** PO BOX 8500-9967, PHILADELPHIA, PA 19178-9967
- **Mailing address phone:** (484) 622-7395
- **Mailing address fax:** (484) 622-7399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 08/17/2018