| Trustees Of The University Of Pennsylvania | |
|
250 King Of Prussia Rd Radnor PA 19087-5220 | |
| (610) 902-2000 | |
| Not Available |
| Full Name | Trustees Of The University Of Pennsylvania |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 250 King Of Prussia Rd, Radnor, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Johnston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2156627583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustees Of The University Of Pennsylvania 3624 Market St Suite 560w Philadelphia PA 19104-2614 Ph: (215) 662-3958 | Trustees Of The University Of Pennsylvania 250 King Of Prussia Rd Radnor PA 19087-5220 Ph: (610) 902-2000 |
| NPI Number | 1508970419 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970419 | NPI | - | NPPES |
| 0099754000 | Other | PA | KEYSTONE |
| 2Y21509 | Other | PA | HEALTHNET |
| 32995 | Other | PA | HEALTHPARTNERS |
| 1001258770 | Medicaid | PA | |
| 30003460 | Other | PA | MERCY |
| CN3127 | Other | PA | RR MEDICARE |
| 3066533 | Other | PA | AETNA |
| 888463 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Pennsylvania) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
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Main Line Behavioral Health Affiliates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Radnor Corporate Ctr, Suite 400, Radnor, PA 19087 Phone: 610-254-1450 | |
Life Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-644-6464 Fax: 610-964-1973 | |
Basic Bliss Life Coaching And Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 N Radnor Chester Rd Ste F200, Radnor, PA 19087 Phone: 267-587-6722 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 |