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Contact Information

CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
150 MONUMENT RD FL 4
BALA CYNWYD, PA19004-1702
 Phone: 610-239-2871
 Fax: 610-239-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST · (Female)

NPI Number 1790737468
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2006
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 100730664
  • PA Other 1343994 BLUE SHIELD
  • PA Other 428207 BLUE SHIELD
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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