Organization
HEALTH SERVICES OF FOX CHASE CANCER CENTER
Active
Other names
Infectious Disease Associates of FCCC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BECK (SENIOR VICE PRESIDENT)
(215) 214-1490
Entity
Organization
Contact information
Practice address
333 COTTMAN AVENUE, INFECTIOUS DISEASE ASSOC OF FCCC, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 728-3593
Mailing address
333 COTTMAN AVENUE, MEDICAL STAFF OFFICE, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 728-3593
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
284300000X
Special Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012467940071
—
PA
Enumeration date
03/05/2007
Last updated
01/25/2012
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