Provider Demographics
NPI:1982839874
Name:HEALTH SERVICES OF FOX CHASE CANCER CENTER
Entity Type:Organization
Organization Name:HEALTH SERVICES OF FOX CHASE CANCER CENTER
Other - Org Name:FOX CHASE RADIATION ONCOLOGY AT BUCKINGHAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PICCOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-728-2904
Mailing Address - Street 1:333 COTTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2434
Mailing Address - Country:US
Mailing Address - Phone:215-728-6900
Mailing Address - Fax:
Practice Address - Street 1:2365 HERITAGE CENTER DR
Practice Address - Street 2:
Practice Address - City:FURLONG
Practice Address - State:PA
Practice Address - Zip Code:18925-1280
Practice Address - Country:US
Practice Address - Phone:215-794-2700
Practice Address - Fax:215-794-9425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH SERVICES OF FOX CHASE CANCER CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital