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Contact Information

UNIV OF PENN - OB-GYN
800 WALNUT ST
10TH FLOOR
PHILADELPHIA, PA19107-5109
 Phone: 215-829-2345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Ambulatory Family Planning Facility

261QA0005X
 

Ambulatory Fertility Facility

261QA0006X
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for UNIV OF PENN - OB-GYN

NPI Number 1386765857
LBN Legal business name UNIV OF PENN - OB-GYN
Authorized official ELIZABETH JOHNSTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 10/24/2013 - About 13 years ago
Identifiers
NJ Medicaid 7298609
PA Medicaid 1007448840
PA Other 921502 AETNA
PA Other 065511 BLUE SHIELD
PA Other 2Y21658 HEALTHNET
PA Other 0052759000 KEYSTONE
PA Other 1012026 KEYSTONE MERCY
PA Other CG4675 RAILROAD 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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