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Contact Information

TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
250 KING OF PRUSSIA RD
RADNOR, PA19087-5220
 Phone: 610-902-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA · (Female)

NPI Number 1174637193
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2006
Last updated 05/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 1001258770
  • PA Other 574469 BLUE SHIELD
  • PA Other 2Y21509 HEALTHNET
  • PA Other 18929 HEALTHPARTNERS
  • PA Other 0218430000 KEYSTONE
  • PA Other 1038486 MERCY
  • PA Other CN3127 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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