Organization

Fox Chase Medical Associates Pc

Internal Medicine Physician in Philadelphia, PA(View on Map)

Legal Business Name

Fox Chase Medical Associates Pc

NPI Number

1174593123

NPI Type

Organization

Enumeration Date

01/24/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

7500 CENTRAL AVENUE
7500 CENTRAL AVENUE

City

Philadelphia
Philadelphia

State

PA
PA

Postal Code

19111-2431
19111-2431

Country

US
US

Telephone Number

(215) 742-0712
(215) 742-0712

Authorized Official

Name

Dr. Howard Bronstein

Title or Position

PHYSICIAN

Telephone Number

(215) 742-0712

Identifiers

Identifier

0201090000
0012402900005

Identifier State

PA
PA

Identifier Issuer

BLUE SHIELD & KEYSTONE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/05/2010

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