Provider Demographics
NPI:1144587387
Name:FOX CHAPEL ANIMAL HOSPITAL
Entity Type:Organization
Organization Name:FOX CHAPEL ANIMAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VETERINARIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISANTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCANO
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:301-515-2935
Mailing Address - Street 1:19711 FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-1307
Mailing Address - Country:US
Mailing Address - Phone:301-515-2935
Mailing Address - Fax:
Practice Address - Street 1:19711 FREDERICK RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-1307
Practice Address - Country:US
Practice Address - Phone:301-515-2935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6606284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital