Anderson, Penny

Anderson, Penny is an individual health care provider with primary practice located at 333 Cottman Ave Fox Chase Cancer Center, Philadelphia PA 19111-2434. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Anderson, Penny can be contacted via phone (215) 728-6900.

Contact Information

Primary practice address
333 Cottman Ave Fox Chase Cancer Center Philadelphia PA 19111-2434
Fax: (215) 728-3134
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD060073L Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD060073L Pennsylvania

Profile Details

NPI number 1811969868
LBN Legal business name Anderson, Penny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Apr 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811969868 NPPES
Pennsylvania MEDICAID 0017580770001

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