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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

NPI # 1174637193
LBN Legal business name TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Authorized official ELIZABETH JOHNSTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 05/08/2008 - About 18 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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