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FOX CHASE CANCER CENTER MEDICAL GROUP INC NPI 1437423514


NPI Information

NPI: 1437423514
Provider Name: FOX CHASE CANCER CENTER MEDICAL GROUP, INC

Doing Business As: RAD ASSOC OF FCCC, MGI

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
333 COTTMAN AVE
FOX CHASE CANCER CENTER
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-3883
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FOX CHASE CANCER CENTER MEDICAL GROUP, INC is a diagnostic radiology radiology in Philadelphia, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FOX CHASE CANCER CENTER MEDICAL GROUP, INC NPI is 1437423514. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rad Assoc Of Fccc, Mgi.

The provider's business location address is:

333 COTTMAN AVE
FOX CHASE CANCER CENTER
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-3883
Fax: (215) 728-1185

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.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11026888280004MEDICAIDPENNSYLVANIA
21026888280032MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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