University Of Penn - Dermatology in Philadelphia - Surgery
University Of Penn - Dermatology - NPI 1174636153
University Of Penn - Dermatology is a Surgery in Philadelphia, Pennsylvania. University Of Penn - Dermatology practices all healthcare services and medical treatments related to Surgery. The NPI Number for University Of Penn - Dermatology is 1174636153. The last update date is 2008-01-23.
University Of Penn - Dermatology's current location address is 3400 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156622737 and fax number 2153498339. The mailing address for University Of Penn - Dermatology is 3400 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Of Penn - Dermatology |
|---|---|
| Address | 3400 Spruce St, Philadelphia, Pennsylvania |
| Phone Number | 2156622737 |
| Fax Number | 2153498339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Johnston Elizabeth |
| Telephone Number | 2156627583 |
NPI Number Detail
| NPI Number | 1174636153 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 3400 Spruce St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191044206 |
| Phone Number | 2156622737 |
| Fax Number | 2153498339 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156456000 | PA | KEYSTONE | |
| G00108540 | PA | AMERICHOICE | |
| 1003289 | PA | MERCY | |
| 10385 | PA | HEALTHPARTNERS | |
| 196218 | PA | BLUE SHIELD | |
| 273488 | PA | MAMSI | |
| CA5541 | PA | RR MEDICARE | |
| 5987 | PA | AETNA | |
| 1007486690 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to University Of Penn - Dermatology?
The University Of Penn - Dermatology has been issued the NPI (National Provider Identifier) 1174636153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of University Of Penn - Dermatology?
The University Of Penn - Dermatology is situated at 3400 Spruce St, in the city of Philadelphia, state of PA, with the zip code 191044206.
What is University Of Penn - Dermatology's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for University Of Penn - Dermatology is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the University Of Penn - Dermatology receive its 1174636153 assignment from the Centers for Medicare & Medicaid Services?
The University Of Penn - Dermatology was assigned its 1174636153 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date were the details related to University Of Penn - Dermatology most recently updated or revised?
The information pertaining to University Of Penn - Dermatology, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-23.