Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Emergency Group Fornance
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization
Contact information
Practice address
1301 POWELL ST, NORRISTOWN, PA 19401-3323
(610) 270-2060
(610) 270-2652
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048792000
IBC - PC, KHPE
PA
01
—
00758608
AMERICHOICE
PA
01
—
07237
HEALTH PARTNERS
PA
01
—
123787
HIGHMARK BLUE SHIELD
PA
01
—
40079EM
KEYSTONE MERCY
PA
01
—
50585
AETNA
PA
01
—
CG6886
RR MEDICARE
PA
Enumeration date
01/20/2006
Last updated
08/17/2018
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