Im/Dru Assoc Of Fccc, Mgi
LBN: Fox Chase Cancer Center Medical Group, Inc
Im/Dru Assoc Of Fccc, Mgi is an health care organization with primary practice located at 333 Cottman Ave West Bldg/Cru, Philadelphia PA 19111-2434. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is the primary health care specialty.
Fox Chase Cancer Center Medical Group, Inc can be contacted via phone (215) 728-6900, or through Woodard, Tonya via phone (215) 707-3911.
Contact Information
Primary practice address
333 Cottman Ave West Bldg/Cru
Philadelphia PA 19111-2434
Phone: (215) 728-6900
Fax: (215) 214-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X |
Profile Details
| NPI number | 1538433610 |
|---|---|
| LBN Legal business name | Fox Chase Cancer Center Medical Group, Inc |
| DBA Doing business as | Im/Dru Assoc Of Fccc, Mgi |
| Authorized official | Woodard, Tonya |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2012 |
| Last updated | Jun 14th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538433610 | NPPES |
| Pennsylvania | MEDICAID | 1026888280016 |
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