Psych Assoc Of Fccc, Mgi

LBN: Fox Chase Cancer Center Medical Group, Inc
Psych Assoc Of Fccc, Mgi is an health care organization with primary practice located at 333 Cottman Ave Fox Chase Cancer Center, Philadelphia PA 19111-2434. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Fox Chase Cancer Center Medical Group, Inc can be contacted via phone (215) 728-3940, or through Woodard, Tonya via phone (215) 707-3911.

Contact Information

Primary practice address
333 Cottman Ave Fox Chase Cancer Center Philadelphia PA 19111-2434
Phone: (215) 728-3940
Fax: (215) 214-3901
Website:
Map and Directions
Authorized official contact:
Name: Woodard, Tonya
Phone: (215) 707-3911

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X

Profile Details

NPI number 1801160981
LBN Legal business name Fox Chase Cancer Center Medical Group, Inc
DBA Doing business as Psych 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801160981 NPPES
Pennsylvania MEDICAID 1026888280001

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