NPI: 1083988166
Provider Name: FOX CHASE CANCER CENTER MEDICAL GROUP, INC
Doing Business As: PLASTIC/RECON ASSOC OF FCCC, MGI
Classification: Surgery - 2086S0122X
Entity Type: Organization
Specialization: Plastic and Reconstructive Surgery
Address:
333 COTTMAN AVE
FOX CHASE CANCER CENTER
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-6900
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FOX CHASE CANCER CENTER MEDICAL GROUP, INC is a plastic and reconstructive surgery surgery in Philadelphia, PA. The provider is a surgeon who specializes in plastic and reconstructive surgery. FOX CHASE CANCER CENTER MEDICAL GROUP, INC NPI is 1083988166. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Plastic/recon Assoc Of Fccc, Mgi.
The provider's business location address is:
333 COTTMAN AVE
FOX CHASE CANCER CENTER
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-6900
Fax: (215) 728-5507
The provider's authorized official is Tonya Woodard .
The authorized official title is Credentialing/manager and has the following contact phone number (215) 707-3911.
The enumeration date for this NPI number is 3/7/2012 and was last updated on 6/14/2018.