| Trustees Of The University Of Pennsylvania | |
|
250 King Of Prussia Rd Radnor PA 19087-5220 | |
| (610) 902-5600 | |
| Not Available |
| Full Name | Trustees Of The University Of Pennsylvania |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| 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) 662-2286 | Trustees Of The University Of Pennsylvania 250 King Of Prussia Rd Radnor PA 19087-5220 Ph: (610) 902-5600 |
| NPI Number | 1114031036 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 01/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114031036 | NPI | - | NPPES |
| 1001258770 | Medicaid | PA | |
| 2Y21509 | Other | PA | HEALTHNET |
| 17588 | Other | PA | HEALTHPARTNERS |
| CN3127 | Other | PA | RR MEDICARE |
| 707804 | Other | PA | AETNA |
| 0211219000 | Other | PA | KEYSTONE |
| 1038515 | Other | PA | MERCY |
| 536910 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | 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 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 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 Fax: 610-902-2040 | |
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 |