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FOX CHASE CANCER CENTER MEDICAL GROUP INC NPI 1518231695


NPI Information

NPI: 1518231695
Provider Name: FOX CHASE CANCER CENTER MEDICAL GROUP, INC

Doing Business As: GEN SURG ASSOC OF FCCC, MGI

Classification: Surgery - 208600000X
Entity Type: Organization
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 surgery in Philadelphia, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. FOX CHASE CANCER CENTER MEDICAL GROUP, INC NPI is 1518231695. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gen Surg 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

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
1208600000XSurgeryYes

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
11026888280005MEDICAIDPENNSYLVANIA
21026888280027MEDICAIDPENNSYLVANIA
31026888280033MEDICAIDPENNSYLVANIA

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: 11/14/2023

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