| Psych Assoc Of Fccc, Mgi | |
|
333 Cottman Ave Fox Chase Cancer Center Philadelphia PA 19111-2434 | |
| (215) 728-3940 | |
| (215) 214-3901 |
| Full Name | Psych Assoc Of Fccc, Mgi |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tonya Woodard (CREDENTIALING/MANAGER) |
| Authorized Official Contact | 2157073911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Assoc Of Fccc, Mgi 2450 W Hunting Park Ave Philadelphia PA 19129-1302 Ph: (215) 214-3940 | Psych Assoc Of Fccc, Mgi 333 Cottman Ave Fox Chase Cancer Center Philadelphia PA 19111-2434 Ph: (215) 728-3940 |
| NPI Number | 1801160981 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801160981 | NPI | - | NPPES |
| 1026888280001 | Medicaid | PA |
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