Organization
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK (ASST VICE PRESIDENT FINANCE)
(215) 662-2709
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, PHILA, PA 19104-4206
(215) 349-5150
(215) 615-0432
Mailing address
3101 MARKET ST, SUITE 160, PHILADELPHIA, PA 19104-2807
(215) 349-5150
(215) 615-0432
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001258770208
—
PA
Enumeration date
05/25/2007
Last updated
04/07/2023
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