OrganizationActive
Fox Chase Cancer Center Medical Group, Inc
NPI 1083988166 · Plastic and Reconstructive Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1083988166
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tonya Woodard, Credentialing/Manager
Practice location
333 Cottman Ave
Fox Chase Cancer Center
Philadelphia, PA 19111-2434
Phone: (215) 728-6900
Fax: (215) 728-5507
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Registry dates
- Enumerated
- 2012-03-07
- Last updated
- 2018-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.