| Fornance Physician Services, Inc | |
|
633 W Germantown Pike Ste 105 Plymouth Meeting PA 19462-1032 | |
| (610) 941-6881 | |
| (610) 941-6635 |
| Full Name | Fornance Physician Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 633 W Germantown Pike Ste 105, Plymouth Meeting, Pennsylvania |
| Authorized Official Name and Position | Tiffany Jones (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 2154568129 |
| 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 19178-9967 Ph: (484) 622-7395 | Fornance Physician Services, Inc 633 W Germantown Pike Ste 105 Plymouth Meeting PA 19462-1032 Ph: (610) 941-6881 |
| NPI Number | 1013601541 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013601541 | NPI | - | NPPES |
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