Organization
PENN PRESBYTERIAN MEDICAL CTR IOP
Active
Organization
PENN PRESBYTERIAN MEDICAL CTR IOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK (ASSISTANT VICE PRESIDENT FINANCE)
(215) 762-0888
Entity
Organization
Contact information
Practice address
51 N 39TH ST, PHILA, PA 19104-2640
(215) 796-4640
(609) 770-7792
Mailing address
1500 MARKET ST, UM600, PHILA, PA 19102-2100
(215) 796-4640
(609) 770-7792
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297070026
—
PA
Enumeration date
02/07/2007
Last updated
03/30/2023
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