Organization
FORNANCE PHYSICIAN SERVICES, INC
Active
Other names
NORTH WALES FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization
Contact information
Practice address
212 N MAIN ST, NORTH WALES, PA 19454-3129
(610) 270-2352
(610) 270-2358
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
Enumeration date
01/31/2012
Last updated
11/14/2018
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