# UNIVERSITY OF PENN - ANESTHESIA

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

## Provider details

- **NPI number:** 1386674463
- **Authorized official:** ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 662-7583

## Contact information

- **Practice address:** 3400 SPRUCE ST, 4 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
- **Practice address phone:** (215) 349-8310
- **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 |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 10/22/2012