# TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326154741
- **Authorized official:** ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 662-7583

## Contact information

- **Practice address:** 250 KING OF PRUSSIA RD, RADNOR, PA 19087-5220
- **Practice address phone:** (610) 902-2000
- **Practice address fax:** (610) 902-2040
- **Mailing address:** 3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
- **Mailing address phone:** (215) 662-2286
- **Mailing address fax:** (215) 615-0500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | PA | Yes |
| 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