# U. OF PA STUDENT HEALTH SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770796385
- **Authorized official:** DR. EVELYN WIENER MD (DIRECTOR)
- **Authorized official phone:** (215) 662-2868

## Contact information

- **Practice address:** 399 S 34TH ST, LOWER LEVEL, PENN TOWER, PHILADELPHIA, PA 19104-4316
- **Practice address phone:** (215) 662-2868
- **Mailing address:** 399 S 34TH ST, LOWER LEVEL, PENN TOWER, PHILADELPHIA, PA 19104-4316
- **Mailing address phone:** (215) 662-2868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | MD021924E | PA | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020