Organization · Type 2 NPI

Fox Chase Cancer Center Medical Group, Inc

Otolaryngology Physician · Philadelphia, PA

NPI number 1457625535 Active

Practice location

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

Call (215) 728-6900 Map

Fax (215) 728-2773

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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NPI record

NPI: 1457625535
Entity type: Organization (Type 2)
Issued: Mar 7, 2012
Last updated: Jun 14, 2018
Status: Active

Other names

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

Authorized official

Tonya Woodard
Credentialing/manager
(215) 707-3911

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About NPI 1457625535

Fox Chase Cancer Center Medical Group, Inc's National Provider Identifier is 1457625535, issued on Mar 7, 2012. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2018.