Organization
FOX CHASE ANESTHESIOLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALIMAR M REDDY MBA (PRACTICE MANAGER)
(215) 728-3921
Entity
Organization
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-3714
(215) 728-3923
Mailing address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010054130005
—
PA
Enumeration date
05/20/2006
Last updated
06/03/2013
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