| Univ Of Penn - Infusion Therapy | |
|
3400 Spruce St 4 Silverstein Building Philadelphia PA 19104-4206 | |
| (215) 662-3285 | |
| (215) 662-2034 |
| Full Name | Univ Of Penn - Infusion Therapy |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Johnston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2156627583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Univ Of Penn - Infusion Therapy 3624 Market St Suite 560w Philadelphia PA 19104-2614 Ph: (215) 662-2286 | Univ Of Penn - Infusion Therapy 3400 Spruce St 4 Silverstein Building Philadelphia PA 19104-4206 Ph: (215) 662-3285 |
| NPI Number | 1992819395 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992819395 | NPI | - | NPPES |
| 2688711000 | Other | PA | KEYSTONE |
| 2Y20647 | Other | PA | HEALTHNET |
| 491288 | Other | PA | AETNA |
| 10841 | Other | PA | HEALTHPARTNERS |
| 7813902 | Other | NJ | MEDICAID |
| CI5506 | Other | PA | RR MEDICARE |
| 0015123800 | Medicaid | PA | |
| 1831795 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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