| Trustees Of The University Of Pennsylvania | |
|
3400 Spruce St Ground Floor Donner Philadelphia PA 19104-4206 | |
| (215) 662-6698 | |
| (215) 662-3953 |
| Full Name | Trustees Of The University Of Pennsylvania |
|---|---|
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Johnston (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2156627583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustees Of The University Of Pennsylvania 3624 Market St Suite 560w Philadelphia PA 19104-2614 Ph: (215) 662-2286 | Trustees Of The University Of Pennsylvania 3400 Spruce St Ground Floor Donner Philadelphia PA 19104-4206 Ph: (215) 662-6698 |
| NPI Number | 1023373511 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023373511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | (Pennsylvania) | Primary |
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