University Of Pennsylvania | |
3400 Civic Center Blvd 2 South Pavilion Philadelphia PA 19104-5127 | |
(215) 614-1828 | |
Not Available |
Full Name | University Of Pennsylvania |
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Speciality | Psychiatric Unit |
Location | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Angela Shelton (DEPT PSYCHIATRY) |
Authorized Official Contact | 2156153020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Of Pennsylvania 3615 Chestnut St Philadelphia PA 19104-2612 Ph: (215) 614-1828 | University Of Pennsylvania 3400 Civic Center Blvd 2 South Pavilion Philadelphia PA 19104-5127 Ph: (215) 614-1828 |
NPI Number | 1003175514 |
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Provider Enumeration Date | 05/04/2012 |
Last Update Date | 05/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003175514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | CW017256 (Pennsylvania) | Primary |
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