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Organization
TRUSTEES OF THE UNIV OF PA
Active
Organization
TRUSTEES OF THE UNIV OF PA
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
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
NULL
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
207SG0203X
Clinical Molecular Genetics Physician
—
NULL
207SG0203X
Clinical Molecular Genetics Physician
—
—
207SG0205X
Ph.D. Medical Genetics Physician
—
NULL
207SG0205X
Ph.D. Medical Genetics Physician
—
—
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
NULL
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
Other
Enumeration date
08/21/2006
Last updated
05/09/2008
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