Organization
PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK JR. (AVP FINANCE)
(215) 762-0888
Entity
Organization
Contact information
Practice address
800 SPRUCE ST, PHILA, PA 19107-6130
(215) 762-0630
(215) 762-0754
Mailing address
1500 MARKET ST, UPPER MEZZANINE, PHILA, PA 19102-2100
(215) 762-0630
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
03/30/2023
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