Organization
PENN PRESBYTERIAN MEDICAL CENTER
Active
Parent organization
PENN PRESBYTERIAN MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN PRESBYTERIAN MEDICAL CENTER
Authorized official
MR. THOMAS MICHAEL MCCORMICK JR. (VP-PATIENT ACCOUNTING)
(215) 762-0888
Entity
Organization
Contact information
Practice address
4040 MARKET STREET, SUITE 200, PHILADELPHIA, PA 19104
(215) 662-8884
(215) 662-8908
Mailing address
4040 MARKET STREET, SUITE 200, PHILADELPHIA, PA 19104
(215) 662-8884
(215) 662-8908
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297070008
—
PA
Enumeration date
12/19/2019
Last updated
12/19/2019
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