Trustees Of The University Of Pennsylvania
Specialty details in registry · Philadelphia, PA
At a glance
3400 Spruce St, Philadelphia, PA 19104-4206
NPPES record updated Dec 18, 2007. Public records can lag behind changes at a practice.
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Practice location
3400 Spruce StPhiladelphia, PA 19104-4206
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207ZP0102X
- Enumeration date
- Sep 7, 2006
- Record updated
- Dec 18, 2007
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
207ZC0500X
Specialty details in registry
207ZN0500X
Specialty details in registry
207ZP0007X
Specialty details in registry
207ZP0102X · Primary
Specialty details in registry
207ZP0104X
Psychiatry
2084P0800X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
3400 Spruce StPhiladelphia, PA 19104-4206
- Phone
- (215) 662-6503
Mailing address
3400 SPRUCE STPHILADELPHIA, PA 191044206
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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