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Organization

UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEOFFREY OTIENO OUMA D.O., MSC (PHYSICIAN)
(301) 233-0014
Entity
Organization

Contact information

Practice address
51 N 39TH ST, PHILADELPHIA, PA, PHILADELPHIA, PA 19104-2640
(219) 662-8900
Mailing address
1629 W MATISSE DR, MIDDLETOWN, DE 19709-9836
(301) 233-0014

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
OS014834
PA
281P00000X
Chronic Disease Hospital
OS014834
PA
282N00000X
General Acute Care Hospital
Primary
OS014834
PA

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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