Organization
UNIVERSITY OF PENN OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA STARNES (ENROLLMENT COORDINATOR)
(215) 615-0502
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 5 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-2730
Mailing address
3400 SPRUCE ST, 5 DULLES, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3423812000
KEYSTON
PA
Enumeration date
04/16/2008
Last updated
04/16/2008
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