Organization
PRESBYTERIAN MULTI-SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-2286
Entity
Organization
Contact information
Practice address
51 N 39TH ST, 3910 BUILDING, 2ND FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-2289
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
PA
207RC0000X
Cardiovascular Disease Physician
—
PA
207RH0003X
Hematology & Oncology Physician
Primary
—
PA
207RR0500X
Rheumatology Physician
—
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0710826000
KEYSTONE
PA
05
—
1007726820
—
PA
01
—
1046781
KEYSTONE MERCY
PA
01
—
16972
HEALTHPARTNERS
PA
01
—
472891
AETNA
PA
01
—
767057
BLUE SHIELD
PA
Enumeration date
03/30/2007
Last updated
09/11/2025
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