# TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023373511
- **Legal business name:** TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
- **Authorized official:** ELIZABETH JOHNSTON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (215) 662-7583

## Contact information

- **Practice address:** 3400 SPRUCE ST, GROUND FLOOR DONNER, PHILADELPHIA, PA 19104-4206
- **Practice address phone:** (215) 662-6698
- **Practice address fax:** (215) 662-3953
- **Mailing address:** 3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
- **Mailing address phone:** (215) 662-2286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | PA | Yes |
| 207R00000X | Internal Medicine Physician | — | PA | — |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 07/10/2012