FOX CHASE CANCER CENTER MEDICAL GROUP INC NPI 1710251897

NPI Information

FOX CHASE CANCER CENTER MEDICAL GROUP, INC is a neurology psychiatry neurology in Philadelphia, PA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FOX CHASE CANCER CENTER MEDICAL GROUP, INC NPI is 1710251897. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Neuro 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) 214-3901

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 6/15/2018.

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:

Other Identifiers

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