| Fornance Physician Services, Inc. | |
|
210 Mall Blvd Ste 102 King Of Prussia PA 19406-3260 | |
| (610) 265-0726 | |
| (610) 265-3132 |
| Full Name | Fornance Physician Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 210 Mall Blvd Ste 102, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Suzanne Rice (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4846227371 |
| 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. 210 Mall Blvd Ste 102 King Of Prussia PA 19406-3260 Ph: (610) 265-0726 |
| NPI Number | 1831146919 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 11/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831146919 | NPI | - | NPPES |
| 1112971 | Other | PA | KEYSTONE MERCY |
| CI4349 | Other | PA | RRM |
| 0418121001 | Other | PA | IBC - PC/KHPE |
| 1738323 | Medicaid | PA | |
| 26575 | Other | PA | HEALTH PARTNERS SITE # |
| 5242713 | Other | PA | AETNA PPO |
| 0418121001 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 639587 | Other | PA | HIGHMARK BLUE SHIELD |
| 2047128 | Other | PA | AETNA HMO |
| 6522623 | Other | PA | CIGNA HMO/PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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