Organization
HEALTH SERVICES OF FOX CHASE CANCER CTR.
Active
Other names
Plastic & Recon Surgery 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, PLASTIC SURGERY 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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
284300000X
Special Hospital
012901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124679400065
—
PA
Enumeration date
09/05/2006
Last updated
02/02/2012
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