Fox Chase Cancer Center Medical Group, Inc | |
333 Cottman Ave West Bldg/cru Philadelphia PA 19111-2434 | |
(215) 728-6900 | |
(215) 214-3901 |
Full Name | Fox Chase Cancer Center Medical Group, Inc |
---|---|
Speciality | Internal Medicine - Critical Care Medicine |
Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Tonya Woodard (CREDENTIALING/MANAGER) |
Authorized Official Contact | 2157073911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fox Chase Cancer Center Medical Group, Inc 2450 W Hunting Park Ave Philadelphia PA 19129-1302 Ph: (215) 728-2844 | Fox Chase Cancer Center Medical Group, Inc 333 Cottman Ave West Bldg/cru Philadelphia PA 19111-2434 Ph: (215) 728-6900 |
NPI Number | 1538433610 |
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Provider Enumeration Date | 03/07/2012 |
Last Update Date | 06/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538433610 | NPI | - | NPPES |
1026888280016 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
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