Individual
SCOT W. EBBINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVENUE, FOX CHASE CANCER CENETR, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2500
(215) 728-3639
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD431903
PA
207RX0202X
Medical Oncology Physician
Primary
MD431903
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020743920001
—
PA
Enumeration date
02/08/2006
Last updated
04/09/2018
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