Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Pathology Group Fornance
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (BILLING DIRECTOR)
(484) 622-7391
Entity
Organization
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1435
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048037000
AMERICHOICE/INTERCOUNTY
PA
01
—
08723
HEALTH PARTNERS
PA
05
—
1738323
—
PA
01
—
2032281
AETNA
PA
01
—
444943
HIGHMARK BLUE SHIELD
PA
01
—
47046
KEYSTONE MERCY
PA
01
—
622047
TRIGON BLUE SHIELD
PA
01
—
G0001885
AMERICHOICE
PA
Enumeration date
01/20/2006
Last updated
11/14/2018
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