Healthcare Provider Details

I. General information

NPI: 1982839874
Provider Name (Legal Business Name): HEALTH SERVICES OF FOX CHASE CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 HERITAGE CENTER DR
FURLONG PA
18925-1280
US

IV. Provider business mailing address

333 COTTMAN AVE
PHILADELPHIA PA
19111-2434
US

V. Phone/Fax

Practice location:
  • Phone: 215-794-2700
  • Fax: 215-794-9425
Mailing address:
  • Phone: 215-728-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH PICCOLO
Title or Position: VP/HEALTH SERVICES
Credential:
Phone: 215-728-2904