Organization
FORNANCE PHYSICIAN SERVICES, INC
Active
Other names
Einstein Physicians Bluebell
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization
Contact information
Practice address
676 DEKALB PIKE STE 104, BLUE BELL, PA 19422-1223
(102) 333-8956
(610) 272-4270
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232275591
UNITED HEALTHCARE
—
Enumeration date
09/21/2017
Last updated
11/10/2018
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