Organization
UNIV OF PENN-CARDIAC TRANSPLANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-7583
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 4 SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-2050
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002Y21677
HEALTHNET
PA
01
—
0424618000
KEYSTONE
PA
01
—
1008678
MERCY
PA
01
—
203630
EEIOC
PA
01
—
273541
MAMSI
PA
01
—
32329
HEALTHPARTNERS
PA
01
—
526246
AETNA
PA
01
—
602278
BLUE SHIELD
PA
01
—
CH6861
RR MEDICARE
PA
01
—
G00020910
AMERICHOICE
PA
Enumeration date
09/01/2006
Last updated
06/09/2008
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