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FOX CHASE CANCER CENTER MEDICAL GROUP INC NPI 1992079073


NPI Information

NPI: 1992079073
Provider Name: FOX CHASE CANCER CENTER MEDICAL GROUP, INC

Doing Business As: INT MED ASSOC OF FCCC, MGI

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-2844
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FOX CHASE CANCER CENTER MEDICAL GROUP, INC is an internal medicine in Philadelphia, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FOX CHASE CANCER CENTER MEDICAL GROUP, INC NPI is 1992079073. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Int Med Assoc Of Fccc, Mgi.

The provider's business location address is:

333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-2844
Fax: (215) 214-1425

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
1207R00000XInternal MedicineYes

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
11026888280013MEDICAIDPENNSYLVANIA

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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