Peter Boutros Edde (NPI# 1265471940, PAC ID# 0840255691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265471940 |
| PAC ID by PECOS | 0840255691 |
| Professional Enrollment ID | I20041217000213 |
| Full Name | Peter Boutros Edde |
| Organization Legal Name | FORNANCE PHYSICIAN SERVICES INC |
| Address |
625 Clark Ave Suite 13 King of Prussia PA 19406-1438 |
| Phone Number | 6102658566 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527962661 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390329 | EINSTEIN MEDICAL CENTER MONTGOMERY |
| 390142 | ALBERT EINSTEIN MEDICAL CENTER |
| 390111 | HOSPITAL OF UNIV OF PENNSYLVANIA |
| Address | Phone | Organization |
|---|---|---|
| 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 6102658566 | FORNANCE PHYSICIAN SERVICES INC |
| 700 S Henderson Rd, Suite 306, King of Prussia, PA 19406-4208 | 6102650726 | FORNANCE PHYSICIAN SERVICES INC |
| Organization Legal Name | FORNANCE PHYSICIAN SERVICES INC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anagha Desai | Obstetrics/gynecology | Fornance Physician Services Inc | 1330 Powell St, Suite 507, Norristown, PA 19401-3352 |
| Ram Jhingan | Endocrinology | Fornance Physician Services Inc | 676 Dekalb Pike, Suite 104, Blue Bell, PA 19422-1223 |
| Sabeena S Fazili | Hospitalist | Fornance Physician Services Inc | 559 W Germantown Pike, East Norristown, PA 19403-4250 |
| Jennifer Mary Mccarthy | Family Medicine | Fornance Physician Services Inc | 4070 Butler Pike, Suite 200, Plymouth Meeting, PA 19462-1510 |
| Janis Rubin | Family Medicine | Fornance Physician Services Inc | 612 Fayette St, Fl 2, Conshohocken, PA 19428-1797 |
| Rebecca Michels | Family Medicine | Fornance Physician Services Inc | 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 |
| Marta Motel | Family Medicine | Fornance Physician Services Inc | 545 W Main St, Trappe, PA 19426-1981 |
| Lisa L Hamaker | Endocrinology | Fornance Physician Services Inc | 210 Mall Blvd, Suite G03, King of Prussia, PA 19406-3260 |
| Diana J Isaia | Nurse Practitioner | Fornance Physician Services Inc | 633 W Germantown Pike, Suite 105, Plymouth Meeting, PA 19462-1032 |
| Sherri Elise Blackstone | Internal Medicine | Fornance Physician Services Inc | 15 W Wood St, Suite 301, Norristown, PA 19401-3347 |
| Street Address |
625 CLARK AVE SUITE 13 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip | 19406-1438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly A Fitzgerald | Nurse Practitioner | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Weiguo V Li | Family Medicine | Weiguo Li, LLC | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 |
| Tony Wen-wei Ku | Pain Management | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 | |
| Melissa A Fazzolari | Nurse Practitioner | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| William J Brownstein | Pediatric Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Charles J Licata | Internal Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Steven C Lieu | Internal Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Stanley Babu | Family Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Hazel M Bluestein | Family Medicine | Weiguo Li, LLC | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 |
| Michael Jimenez | Internal Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cari D Cinamella | Optometry | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Ketki Soin | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Sandhya S Ramsook | Optometry | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Tanja Moennichmeyer | Optometry | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Jurij R Bilyk | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Anthony Zacchei | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Aaron D Cohn | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Michael Allan Aronsky | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Jacquelyn Repice | Occupational Therapy | Full Range Physical Therapy, LLC | 10102 Valley Forge Cir, Suite 102a, King of Prussia, PA 19406-1111 |
| Sarah Marlene Derr | Optometry | The Elder Eye Care Group, Inc | 10106 Valley Forge Cir, King of Prussia, PA 19406-1111 |
| Find all physicians in zip 19406 | |||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KING OF PRUSSIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter Boutros Edde.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.