# FOX CHASE CANCER CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477006849
- **Authorized official:** MS. VALERIE BREWER (PRECERTIFICATION REPRESENTATIVE)
- **Authorized official phone:** (215) 728-0405

## Contact information

- **Practice address:** 333 COTTMAN AVE., PHILADELPHIA, PA 19111
- **Practice address phone:** (215) 728-0405
- **Practice address fax:** (215) 728-2761
- **Mailing address:** 333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
- **Mailing address phone:** (215) 728-0405
- **Mailing address fax:** (215) 278-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | 231352156 | PA | Yes |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 08/02/2016
