Organization
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK JR. (AVP FINANCE)
(215) 762-0888
Entity
Organization
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 762-0630
(215) 762-0754
Mailing address
1500 MARKET ST, UPPER MEZZANINE 600, PHILA, PA 19102-2100
(215) 762-0630
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000049150009
—
PA
Enumeration date
03/08/2006
Last updated
07/09/2010
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