Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Trappe Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization
Contact information
Practice address
17 IRON BRIDGE DR STE 100, COLLEGEVILLE, PA 19426-2042
(484) 622-6340
(484) 622-6357
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0898365001
IBC - PC/KHPE
PA
01
—
2124451
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
2542436
AETNA HMO
PA
01
—
30000345
KEYSTONE MERCY
PA
01
—
3062149
CIGNA HMO/PPO
PA
01
—
35156
HEALTH PARTNERS SITE #
PA
01
—
7730228
AETNA PPO
PA
01
—
958315
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/16/2006
Last updated
04/07/2021
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