Organization · Type 2 NPI

Fox Chase Cancer Center Medical Group Inc,

Gastroenterology Physician · Philadelphia, PA

NPI number 1417221607 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Call (215) 214-1424 Map

Fax (215) 214-1425

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

421 other providers at this address

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NPI record

NPI: 1417221607
Entity type: Organization (Type 2)
Issued: Mar 6, 2012
Last updated: Jun 14, 2018
Status: Active

Other names

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

Authorized official

Tonya Woodard
Credentialing/manager
(215) 707-3911

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About NPI 1417221607

Fox Chase Cancer Center Medical Group Inc,'s National Provider Identifier is 1417221607, issued on Mar 6, 2012. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2018.