Organization
UNIV OF PENN - HYPERBARIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-7583
Entity
Organization
Contact information
Practice address
3620 HAMILTON WALK, 1 JOHN MORGAN BUILDING, PHILADELPHIA, PA 19104-4215
(215) 898-9095
Mailing address
3620 HAMILTON WALK, 1 JOHN MORGAN BUILDING, PHILADELPHIA, PA 19104-4215
(215) 898-9095
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
PA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
PA
207RP1001X
Pulmonary Disease Physician
—
PA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002Y21654
HEALTHNET
PA
05
—
0016106680
—
PA
01
—
0054421000
KEYSTONE
PA
01
—
07417
HEALTHPARTNERS
PA
01
—
1008376
MERCY
PA
01
—
147708
BLUE SHIELD
PA
01
—
203664
EEIOC
PA
01
—
273291
MAMSI
PA
01
—
32901
AETNA
PA
05
—
3485013
—
NJ
01
—
487202200
ACS
PA
01
—
CF8179
RR MEDICARE
PA
Enumeration date
08/30/2006
Last updated
08/12/2013
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