Organization
FORNANCE PHYSICIAN SERVICES, INC
Active
Other names
Anesthesia 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) 622-1244
(484) 622-1542
Mailing address
PO BOX 8500-9967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046639000
(IBC) KHPE & PC GROUP #
PA
01
—
08726
HEALTH PARTNERS GROUP #
PA
05
—
1738323
—
PA
01
—
444993
BLUE SHIELD GROUP #
PA
01
—
48811
KEYSTONE MERCY GROUP #
PA
01
—
8495175
AETNA PPO GROUP #
PA
01
—
898188
AETNA HMO GROUP #
PA
01
—
G0001883
AMERICHOICE GROUP #
PA
Enumeration date
01/17/2006
Last updated
08/17/2018
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