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, PHILA, PA 19107-6130
(215) 796-4640
(215) 762-0754
Mailing address
1500 MARKET ST, UPPER MEZENINE 600, PHILADELPHIA, PA 19102-2100
(215) 796-4640
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000049150005
—
PA
Enumeration date
03/08/2006
Last updated
03/30/2023
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