Organization · Type 2 NPI

Health Services of Fox Chase Cancer Ctr.

Plastic and Reconstructive Surgery Physician · Philadelphia, PA

NPI number 1174625552 Active

Practice location

333 Cottman Avenue, Plastic Surgery Assoc Of Fccc
Philadelphia, PA 19111

Call (215) 728-6900 Map

Fax (215) 728-3593

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed
Special Hospital 284300000X012901 (PA)

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

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About NPI 1174625552

Health Services of Fox Chase Cancer Ctr.'s National Provider Identifier is 1174625552, issued on Sep 5, 2006. 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 Feb 2, 2012.