# UNIV OF PENN - HYPERBARIC

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

## Provider details

- **NPI number:** 1548379993
- **Authorized official:** ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 662-7583

## Contact information

- **Practice address:** 3620 HAMILTON WALK, 1 JOHN MORGAN BUILDING, PHILADELPHIA, PA 19104-4215
- **Practice address phone:** (215) 898-9095
- **Mailing address:** 3620 HAMILTON WALK, 1 JOHN MORGAN BUILDING, PHILADELPHIA, PA 19104-4215
- **Mailing address phone:** (215) 898-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | PA | — |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | PA | — |
| 207RP1001X | Pulmonary Disease Physician | — | PA | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | PA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0002Y21654 | HEALTHNET | PA |
| 05 | — | 0016106680 | — | PA |
| 01 | — | 0054421000 | KEYSTONE | PA |
| 01 | — | 07417 | HEALTHPARTNERS | PA |
| 01 | — | 1008376 | MERCY | PA |
| 01 | — | 147708 | BLUE SHIELD | PA |
| 01 | — | 203664 | EEIOC | PA |
| 01 | — | 273291 | MAMSI | PA |
| 01 | — | 32901 | AETNA | PA |
| 05 | — | 3485013 | — | NJ |
| 01 | — | 487202200 | ACS | PA |
| 01 | — | CF8179 | RR MEDICARE | PA |