Dorotea Mutabdzic, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

MD461646 Issued in PA

Practice address

Fox Chase Cancer Center
333 Cottman Ave, Dept of Surgical Oncology
Philadelphia, PA 19111

Phone

(267) 269-4588

NPI assigned

Aug 11, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1235654286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF SURGICAL ONCOLOGY",
            "address_2": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOX CHASE CANCER CENTER",
            "address_2": "333 COTTMAN AVE, DEPT OF SURGICAL ONCOLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19111",
            "telephone_number": "267-269-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTABDZIC",
        "first_name": "DOROTEA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PA",
            "license": "MD461646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Musten, O.D.
• Mohamado Musthaq, M.D.
• Michelle M Mustin
• Mary Usha Musuku, M.D
• Kiran Musunuru, M.D., PH.D.
• Faith Mutale, CRNP
• Erica Mutchnick, MS
• Mahisha Virdiana Muthu Sivan, MBBS
• Naveen Muthu, M.D.
• Carlene A Muto, MD

• Surgical Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Surgical Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.