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

Health Services of Fox Chase Cancer Ctr

Organization Plastic and Reconstructive Surgery Physician · NPI 1174625552

Health Services of Fox Chase Cancer Ctr provides Plastic and Reconstructive Surgery Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

333 Cottman Avenue Plastic Surgery Assoc Of Fccc
Philadelphia, PA 19111 Not confirmed with CMS for 14 years — call before visiting
Phone: (215) 728-6900
Fax: (215) 728-3593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Special Hospital Taxonomy 284300000X · Licence 012901 (PA)

Record details

NPI number1174625552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Beck — Senior Vice President · (215) 214-1490
Other names Plastic & Recon Surgery Associates Of Fccc
NPI enumeratedSeptember 5, 2006
Last updated in NPPESFebruary 2, 2012
Mailing address333 Cottman Avenue, Medical Staff Office, Philadelphia, PA 19111

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