Organization
HEALTH SERVICES OF FOX CHASE CANCER CENTER
Active
Other names
Pain Management 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, 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
208VP0000X
Pain Medicine Physician
Primary
—
—
284300000X
Special Hospital
012901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012467940074
—
PA
Enumeration date
09/05/2006
Last updated
02/02/2012
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