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Organization
HEALTH SERVICES OF FCCC
Active
Organization
HEALTH SERVICES OF FCCC
Active
Other names
Anesthesia Assoc of FCCC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GREEN (CREDENTIALING MANAGER)
(215) 728-2697
Entity
Organization
Contact information
Practice address
333 COTTMAN AVENUE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111
(215) 728-6900
Mailing address
333 COTTMAN AVENUE, MEDICAL STAFF OFFICE, PHILADELPHIA, PA 19111
(215) 728-6900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
11/15/2011
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