| University Of Pennsylvania | |
|
3400 Civic Center Blvd 2 South Pavilion Philadelphia PA 19104-5127 | |
| (215) 614-1828 | |
| Not Available |
| Full Name | University Of Pennsylvania |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Angela Shelton (DEPT PSYCHIATRY) |
| Authorized Official Contact | 2156153020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Pennsylvania 3615 Chestnut St Philadelphia PA 19104-2612 Ph: (215) 614-1828 | University Of Pennsylvania 3400 Civic Center Blvd 2 South Pavilion Philadelphia PA 19104-5127 Ph: (215) 614-1828 |
| NPI Number | 1003175514 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003175514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | CW017256 (Pennsylvania) | Primary |
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