# UNIV OF PENN - OB-GYN

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

## Provider details

- **NPI number:** 1386765857
- **Authorized official:** ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 662-7583

## Contact information

- **Practice address:** 800 WALNUT ST, 10TH FLOOR, PHILADELPHIA, PA 19107-5109
- **Practice address phone:** (215) 829-2345
- **Mailing address:** 3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
- **Mailing address phone:** (215) 662-2286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | PA | Yes |
| 207VX0201X | Gynecologic Oncology Physician | — | PA | — |
| 261QA0005X | Ambulatory Family Planning Facility | — | PA | — |
| 261QA0006X | Ambulatory Fertility Facility | — | PA | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 10/24/2013