| Trustees Of The Univ Of Pa | |
|
250 King Of Prussia Rd Radnor PA 19087-5220 | |
| (610) 902-2000 | |
| (610) 902-2040 |
| Full Name | Trustees Of The Univ Of Pa |
|---|---|
| Speciality | Internal Medicine |
| 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 Univ Of Pa 3624 Market St Suite 560w Philadelphia PA 19104-2614 Ph: (215) 662-2286 | Trustees Of The Univ Of Pa 250 King Of Prussia Rd Radnor PA 19087-5220 Ph: (610) 902-2000 |
| NPI Number | 1235245655 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235245655 | NPI | - | NPPES |
| 300654 | Other | PA | EEIOC |
| CN3127 | Other | PA | RR MEDICARE |
| 0060201000 | Other | PA | KEYSTONE |
| 0002Y21509 | Other | PA | HEALTHNET |
| 1001258770 | Medicaid | PA | |
| 2134116 | Other | PA | AETNA |
| 273371 | Other | PA | MAMSI |
| 265269 | Other | PA | BLUE SHIELD |
| 1038545 | Other | PA | MERCY |
| 116472401 | Other | PA | ACS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-5600 | |
Trustees Of The Univ Of Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Clinical Health Care Associates Of New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, 4th Floor, Radnor, PA 19087 Phone: 610-902-1738 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 |