Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Women's Associates for Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (BILLING DIRECTOR)
(484) 622-7391
Entity
Organization
Contact information
Practice address
609 W GERMANTOWN PIKE STE 220, EAST NORRITON, PA 19403-4261
(484) 622-7940
(484) 622-7950
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112141
AETNA HMO
PA
01
—
0329132000
IBC - PC, KHPE
PA
01
—
1002082
KEYSTONE MERCY
PA
01
—
135835
HIGHMARK BLUE SHIELD
PA
01
—
16728
HEALTH PARNERS
PA
01
—
5074146
AETNA PPO
PA
Enumeration date
01/25/2006
Last updated
11/15/2018
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