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Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-7583
Entity
Organization
Contact information
Practice address
250 KING OF PRUSSIA RD, RADNOR, PA 19087-5220
(610) 902-2000
(610) 902-2040
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
207VE0102X
Reproductive Endocrinology Physician
—
PA
207VG0400X
Gynecology Physician
—
PA
207VM0101X
Maternal & Fetal Medicine Physician
—
PA
207VX0000X
Obstetrics Physician
—
PA
207VX0201X
Gynecologic Oncology Physician
—
PA
Other
Enumeration date
08/21/2006
Last updated
05/22/2008
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