Trustees Of The University Of Pennsylvania | |
51 N 39th St 7 Floor-mutch Bldg. Philadelphia PA 19104-2640 | |
(215) 662-8777 | |
(215) 243-3290 |
Full Name | Trustees Of The University Of Pennsylvania |
---|---|
Speciality | Family Medicine |
Location | 51 N 39th St, Philadelphia, 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 560 W Philadelphia PA 19104-2614 Ph: (215) 662-2286 | Trustees Of The University Of Pennsylvania 51 N 39th St 7 Floor-mutch Bldg. Philadelphia PA 19104-2640 Ph: (215) 662-8777 |
NPI Number | 1881707842 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 05/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881707842 | NPI | - | NPPES |
7269102 | Other | NJ | NJ-MEDICAID |
770344 | Other | PA | AETNA |
CG7756 | Other | PA | RR MEDICARE |
0002Y20112 | Other | PA | HEALTHNET |
0361490001 | Other | PA | KEYSTONE |
1001258770 | Medicaid | PA | |
902832 | Other | PA | BLUE SHIELD |
1043286 | Other | PA | MERCY |
300654 | Other | PA | EEIOC |
18871 | Other | PA | HEALTHPARTNERS |
273885 | Other | PA | MAMSI |
G00015990 | Other | PA | AMERICHOICE |
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