| Fornance Physician Services Inc | |
|
2010 N Broad St Ste 100 Lansdale PA 19446-1004 | |
| (484) 622-7500 | |
| Not Available |
| Full Name | Fornance Physician Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2010 N Broad St Ste 100, Lansdale, Pennsylvania |
| Authorized Official Name and Position | Vera Burnett-robins (DIRECTOR) |
| Authorized Official Contact | 4846227399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fornance Physician Services Inc Po Box 789967 Philadelphia PA 19178-1004 Ph: (484) 622-7395 | Fornance Physician Services Inc 2010 N Broad St Ste 100 Lansdale PA 19446-1004 Ph: (484) 622-7500 |
| NPI Number | 1316608540 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316608540 | NPI | - | NPPES |
| 1041C0700X | Other | LICENSED SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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