Organization
FORNANCE PHYSICIAN SERVICES, INC
Active
Other names
Radiology Group Fornance
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LOWE-ROBBINS (REIMBURSEMENT MANAGER)
(484) 622-7382
Entity
Organization
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-0700
(484) 622-0643
Mailing address
PO BOX 8500-9967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046835000
IBC - PC, KHPE
PA
01
—
0282548
CIGNA HMO/PPO
PA
01
—
0700330901
AMERICHOICE
PA
01
—
08722
HEALTH PARTNERS
PA
05
—
1738323
—
PA
01
—
444921
HIGHMARK BLUE SHIELD
PA
01
—
459451
AETNA
PA
01
—
46128
KEYSTONE MERCY
PA
01
—
CK3574
RR MEDICARE
PA
Enumeration date
01/20/2006
Last updated
08/17/2018
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