Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Einstein Physicians Norriton
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (BILLING DIRECTOR)
(484) 622-7391
Entity
Organization
Contact information
Practice address
342 W GERMANTOWN PIKE, SUITE 200, EAST NORRITON, PA 19403-4260
(610) 279-1500
(610) 278-6065
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
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018105
AETNA HMO
PA
01
—
0047283001
IBC - PC/KHPE
PA
01
—
1026416
KEYSTONE MERCY
PA
01
—
16523
HEALTH PARTNERS SITE #
PA
05
—
1738323
—
PA
01
—
175817
HIGHMARK BLUE SHIELD
PA
01
—
2123929
ALLIANCE/OPT CHC (MAMSI)
PA
01
—
8146434
CIGNA HMO/PPO
PA
01
—
8495020
AETNA PPO
PA
01
—
DC5012
RRM
PA
Enumeration date
06/08/2006
Last updated
11/14/2018
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