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Organization
UNIVERSITY OF PENNSYLVANIA
Active
Organization
UNIVERSITY OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SHELTON (DEPT PSYCHIATRY)
(215) 615-3020
Entity
Organization
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION, PHILADELPHIA, PA 19104-5127
(215) 614-1828
Mailing address
3615 CHESTNUT ST, PHILADELPHIA, PA 19104-2612
(215) 614-1828
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
CW017256
PA
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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