Organization · Type 2 NPI

Fox Chase Cancer Center Medical Group, Inc

Plastic and Reconstructive Surgery Physician · Philadelphia, PA

NPI number 1083988166 Active

Practice location

333 Cottman Ave, Fox Chase Cancer Center
Philadelphia, PA 19111-2434

Call (215) 728-6900 Map

Fax (215) 728-5507

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

2701 Dekalb Pike, Norristown, PA 19401-1820 · (888) 369-2487
2365 Heritage Center Dr, Furlong, PA 18925-1280 · (215) 782-6900

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician	208200000X	None listed
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

421 other providers at this address

Other plastic and reconstructive surgery physician providers in Philadelphia

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NPI record

NPI: 1083988166
Entity type: Organization (Type 2)
Issued: Mar 7, 2012
Last updated: Jun 14, 2018
Status: Active

Other names

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Plastic/recon Assoc of Fccc, Mgi · doing business as
Plastic/recon Assoc of Fccc, Mgi · doing business as

Authorized official

Tonya Woodard
Credentialing/manager
(215) 707-3911

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About NPI 1083988166

Fox Chase Cancer Center Medical Group, Inc's National Provider Identifier is 1083988166, issued on Mar 7, 2012. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2018.