Organization · Type 2 NPI

Fox Chase Cancer Center Medical Group, Inc

Anatomic Pathology & Clinical Pathology Physician · Philadelphia, PA

NPI number 1396019444 Active

Practice location

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

Call (215) 728-3675 Map

Fax (215) 214-3901

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

7600 Central Ave, Philadelphia, PA 19111-2442 · (215) 728-3675

Specialties and licenses

Taxonomy	Code	License
Cytopathology Physician	207ZC0500X	None listed
Anatomic Pathology Physician	207ZP0101X	None listed
Anatomic Pathology & Clinical Pathology Physician Primary	207ZP0102X	None listed

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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NPI record

NPI: 1396019444
Entity type: Organization (Type 2)
Issued: Mar 6, 2012
Last updated: Jun 14, 2018
Status: Active

Other names

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Path Assoc of Fccc, Mgi · doing business as
Path Assoc of Fccc, Mgi · doing business as

Authorized official

Tonya Woodard
Credentialing/manager
(215) 707-3911

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396019444

Fox Chase Cancer Center Medical Group, Inc's National Provider Identifier is 1396019444, issued on Mar 6, 2012. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2018.