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Organization
UNIV OF PENN - REHAB MEDICINE
Active
Organization
UNIV OF PENN - REHAB MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-7583
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 1 GROUND WHITE BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3261
(215) 319-8944
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
06/09/2008
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