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Organization
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
Active
Organization
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK JR. (AVP FINANCE)
(215) 762-0888
Entity
Organization
Contact information
Practice address
800 SPRUCE ST, PHILA, PA 19107-6130
(215) 796-4640
(215) 762-0754
Mailing address
1500 MARKET ST, UPPER MEZENINE 600, PHILADELPHIA, PA 19102-2100
(215) 796-4640
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000049150005
—
PA
Enumeration date
03/08/2006
Last updated
03/30/2023
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