Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Montgomery Radiation Oncology
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, SUITE 308, NORRISTOWN, PA 19401-3353
(610) 270-2192
(610) 270-2364
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2352
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194239000
AMERIHEALTH/INTERCOUNTY
PA
01
—
054706
HIGHMARK BLUE SHIELD
PA
01
—
1053316
KEYSTONE MERCY
PA
05
—
1738323
—
PA
01
—
2110590
AETNA HMO
PA
01
—
25096
HEALTH PARTNERS
PA
01
—
5015635
AETNA PPO
PA
Enumeration date
01/25/2006
Last updated
08/17/2018
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