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Contact Information

TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
250 KING OF PRUSSIA RD
RADNOR, PA19087-5220
 Phone: 610-902-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

NPI Number 1932252228
LBN Legal business name TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Authorized official CHANTE JACKSON - (LEAD COORDINTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/19/2007
Last updated 04/23/2020 - About 6 years ago
Identifiers
PA License # 1675
PA Other 707804 AETNA U S HEALTHCARE
PA Other 1461 INDEPENDENCE BLUE CROSS
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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