Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Trappe Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETTROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization
Contact information
Practice address
17 IRON BRIDGE DR STE 150, COLLEGEVILLE, PA 19426-2042
(484) 622-6320
(484) 622-6337
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000632
AETNA HMO
PA
01
—
0047325001
IBC - PC/KHPE
PA
01
—
0282590
CIGNA HMO/PPO
PA
01
—
1026741
KEYSTONE MERCY
PA
01
—
16452
HEALTH PARTNERS SITE#
PA
05
—
1738323
—
PA
01
—
2124456
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
4449601
AETNA PPO
PA
01
—
484046
HIGHMARK BLUE SHIELD
PA
01
—
CI6428
RRM
PA
Enumeration date
06/09/2006
Last updated
04/07/2021
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