Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
King of Prussia Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE RICE (CREDENTIALING SPECIALIST)
(484) 622-7371
Entity
Organization
Contact information
Practice address
210 MALL BLVD STE 102, KING OF PRUSSIA, PA 19406-3260
(610) 265-0726
(610) 265-3132
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
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0418121001
IBC - PC/KHPE
PA
01
—
1112971
KEYSTONE MERCY
PA
05
—
1738323
—
PA
01
—
2047128
AETNA HMO
PA
01
—
26575
HEALTH PARTNERS SITE #
PA
01
—
5242713
AETNA PPO
PA
01
—
639587
HIGHMARK BLUE SHIELD
PA
01
—
6522623
CIGNA HMO/PPO
PA
01
—
CI4349
RRM
PA
Enumeration date
05/27/2006
Last updated
11/10/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us