OrganizationActive
Health Services of Fox Chase Cancer Ctr.
NPI 1174625552 · Plastic and Reconstructive Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1174625552
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Beck, Senior Vice President(215) 214-1490
- License
- 012901 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Hospitals
Practice location
333 Cottman Avenue
Plastic Surgery Assoc of Fccc
Philadelphia, PA 19111
Phone: (215) 728-6900
Fax: (215) 728-3593
Approximate (ZIP-level) locationGet directions
Mailing address
333 Cottman Avenue
Philadelphia, PA 19111
Other names (DBA / former)
- Doing business as
- Plastic & Recon Surgery Associates of Fccc
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2012-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.