# PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** surgery center at pennsylvania hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336304062
- **Authorized official:** MR. THOMAS MCCORMICK (AVP OF FINANCE)
- **Authorized official phone:** (215) 762-0888

## Contact information

- **Practice address:** 1840 SOUTH ST, PHILA, PA 19146-7411
- **Practice address phone:** (215) 762-0630
- **Practice address fax:** (215) 762-0754
- **Mailing address:** 1500 MARKET ST, UPPER MEZZENINE 600, PHILA, PA 19102-2100
- **Mailing address phone:** (215) 762-0630
- **Mailing address fax:** (215) 762-0754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 03/30/2023
