Organization
CANCER SURVIVORSHIP MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN GRISCHKAN MD (PRESIDENT)
(855) 888-8250
Entity
Organization
Contact information
Practice address
2929 ARCH ST STE 1700, PHILADELPHIA, PA 19104-7327
(215) 550-1494
Mailing address
2929 ARCH ST STE 1700, PHILADELPHIA, PA 19104-7327
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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