Individual
PENNY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 728-3134
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2581
(215) 214-4038
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD060073L
PA
2085R0001X
Radiation Oncology Physician
Primary
MD060073L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017580770001
—
PA
Enumeration date
02/03/2006
Last updated
04/12/2018
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