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Contact Information

UNIV OF PENN-OTORHINOLARYNGOLOGY
3400 SPRUCE ST
5 SILVERSTEIN
PHILADELPHIA, PA19104-4206
 Phone: 215-662-2777
 Fax: 215-662-4613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for UNIV OF PENN OTORHINOLARYNGOLOGY · (Female)

NPI # 1487767422
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2006
Last updated 06/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 0016786460
  • NJ Other 7526105 NJ-MEDICAID
  • PA Other 209916800 ACS
  • PA Other 099961 AETNA
  • PA Other G00031410 AMERICHOICE
  • PA Other 520160 BLUE SHIELD
  • PA Other 203652 EEIOC
  • PA Other 0002Y21659 HEALTHNET
  • PA Other 103681 HEALTHPARTNERS
  • PA Other 0111428000 KEYSTONE
  • PA Other 273501 MAMSI
  • PA Other 1002205 MERCY
  • PA Other CN0179 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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