Organization
U. OF PA STUDENT HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN WIENER MD (DIRECTOR)
(215) 662-2868
Entity
Organization
Contact information
Practice address
399 S 34TH ST, LOWER LEVEL, PENN TOWER, PHILADELPHIA, PA 19104-4316
(215) 662-2868
Mailing address
399 S 34TH ST, LOWER LEVEL, PENN TOWER, PHILADELPHIA, PA 19104-4316
(215) 662-2868
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
MD021924E
PA
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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