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FOX CHASE CANCER CENTER MEDICAL GROUP INC NPI 1952674079


NPI Information

NPI: 1952674079
Provider Name: FOX CHASE CANCER CENTER MEDICAL GROUP, INC

Doing Business As: PINNACLE RADONC OF FCCC, MGI

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 39D0199133

Address:
4300 LONDONDERRY RD
MEDICAL SCIENCE PAV -STE 201
HARRISBURG, PA
ZIP 17109
Phone: (717) 724-6760
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FOX CHASE CANCER CENTER MEDICAL GROUP, INC is a radiation oncology radiology in Harrisburg, PA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. FOX CHASE CANCER CENTER MEDICAL GROUP, INC NPI is 1952674079. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pinnacle Radonc Of Fccc, Mgi.

The provider's business location address is:

4300 LONDONDERRY RD
MEDICAL SCIENCE PAV -STE 201
HARRISBURG, PA
ZIP 17109-317
Phone: (717) 724-6760
Fax: (717) 724-6761

The provider's authorized official is Robert Beck .
The authorized official title is Sr Vp and has the following contact phone number (215) 214-1409.

The CLIA number assigned to this NPI record is 39D0199133 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2012 and was last updated on 2/21/2012.


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
12085R0001XRadiologyRadiation OncologyYes

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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