# PENN PRESBYTERIAN MEDICAL CENTER SPU

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

## Provider details

- **NPI number:** 1902063605
- **Authorized official:** MR. THOMAS MCCORMICK (ASSOCIATE VICE PRESIDENT)
- **Authorized official phone:** (215) 762-0888

## Contact information

- **Practice address:** 51 N 39TH ST, PHILA, PA 19104-2640
- **Practice address phone:** (215) 796-4640
- **Practice address fax:** (215) 762-0754
- **Mailing address:** 1500 MARKET ST, UPPER MEZZANINE 600, PHILA, PA 19102-2100
- **Mailing address phone:** (215) 796-4640
- **Mailing address fax:** (215) 762-0754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 03/30/2023