Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fox Chase Cancer Center Medical Group Inc

Organization Gastroenterology Physician · NPI 1417221607

Fox Chase Cancer Center Medical Group Inc is a Gastroenterology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone: (215) 214-1424
Fax: (215) 214-1425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (PA)

Record details

NPI number1417221607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonya Woodard — Credentialing/Manager · (215) 707-3911
Other names Gastro Assoc Of Fccc, Mgi; Gastro Assoc Of Fccc, Mgi
NPI enumeratedMarch 6, 2012
Last updated in NPPESJune 14, 2018
Mailing address2450 W Hunting Park Ave, Philadelphia, PA 19129-1302

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