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Organization

FORNANCE PHYSICIAN SERVICES, INC

Active
Other names
Family OB/GYN Center
Organization subpart
No

Provider details

NPI number
Authorized official
VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization

Contact information

Practice address
1330 POWELL ST, STE 507, NORRISTOWN, PA 19401-3353
(484) 622-7300
(484) 622-7310
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7371
(484) 622-7399

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207VM0101X
Maternal & Fetal Medicine Physician
367A00000X
Advanced Practice Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1009201
KEYSTONE MERCY
PA
01
27073
HEALTH PARTNERS
PA
01
CI9345
RRM
PA
Enumeration date
05/16/2006
Last updated
11/08/2018
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