Organization
PENN PRESBYTERIAN MEDICAL CENTER SPU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MCCORMICK (ASSOCIATE VICE PRESIDENT)
(215) 762-0888
Entity
Organization
Contact information
Practice address
51 N 39TH ST, PHILA, PA 19104-2640
(215) 796-4640
(215) 762-0754
Mailing address
1500 MARKET ST, UPPER MEZZANINE 600, PHILA, PA 19102-2100
(215) 796-4640
(215) 762-0754
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297070017
—
PA
Enumeration date
05/20/2008
Last updated
03/30/2023
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