Organization
HEALTH SERVICES OF FOX CHASE CANCER CENTER
Active
Other names
Dermatology Associates of FCCC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BECK (SENIOR VICE PRESIDENT)
(215) 214-1409
Entity
Organization
Contact information
Practice address
333 COTTMAN AVENUE, DERMATOLOGY ASSOC OT FCCC, PHILADELPHIA, PA 19111
(215) 725-6900
(215) 214-1405
Mailing address
333 COTTMAN AVENUE, MEDICAL STAFF OFFICE, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 214-1023
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012467940067
—
PA
Enumeration date
08/28/2006
Last updated
01/24/2012
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