Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fox Chase Cancer Center Medical Group, Inc

Organization Dermatology Physician · NPI 1235403429

Fox Chase Cancer Center Medical Group, Inc provides Dermatology Physician services in Philadelphia, Pennsylvania. Registered with an NPI since 2012.

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 Mso/enrollment
Philadelphia, PA 19111-2434
Phone: (215) 728-2191
Fax: (215) 214-3992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1235403429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonya Woodard — Credentialing/Manager · (215) 707-3911
Other names Derm Assoc Of Fccc, Mgi; Derm 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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