Organization
FORNANCE PHYSICIAN SERVICES, INC
Active
Other names
Fornance Hospital Service
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (BILLING DIRECTOR)
(484) 622-7391
Entity
Organization
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-7071
(484) 622-4260
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017487
HIGHMARK BLUE SHIELD
PA
01
—
0706828000
AMERIHEALTH/INTERCOUNTY
PA
01
—
1152985
KEYSTONE MERCY
PA
05
—
1738323
—
PA
01
—
2582595
AETNA HMO
PA
01
—
31712
HEALTH PARTNERS
PA
01
—
GC6886
RR MEDICARE
PA
Enumeration date
01/25/2006
Last updated
11/14/2018
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