Organization
FOX CHASE CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE BREWER (PRECERTIFICATION REPRESENTATIVE)
(215) 728-0405
Entity
Organization
Contact information
Practice address
333 COTTMAN AVE., PHILADELPHIA, PA 19111
(215) 728-0405
(215) 728-2761
Mailing address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-0405
(215) 278-2761
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
231352156
PA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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