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Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-7583
Entity
Organization
Contact information
Practice address
3535 MARKET ST, STE 100, PHILADELPHIA, PA 19104-3309
(215) 746-3535
(215) 746-1032
Mailing address
3535 MARKET ST, STE 100, PHILADELPHIA, PA 19104-3376
(215) 746-3535
(215) 746-1032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
07/28/2009
Last updated
01/26/2010
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