Provider Demographics
NPI:1538475280
Name:HEALTH SERVICES OF FCCC
Entity Type:Organization
Organization Name:HEALTH SERVICES OF FCCC
Other - Org Name:VIRTUA FOX CHASE CANCER CTR RADIATION ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VP
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-728-1630
Mailing Address - Street 1:333 COTTMAN AVE
Mailing Address - Street 2:MEDICAL STAFF OFFICE/ENROLLMENT
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2434
Mailing Address - Country:US
Mailing Address - Phone:215-214-1405
Mailing Address - Fax:
Practice Address - Street 1:239 HURFFVILLE CROSSKEYS RD
Practice Address - Street 2:SUITE 190
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4002
Practice Address - Country:US
Practice Address - Phone:856-341-8400
Practice Address - Fax:856-341-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty