University Of Penn-Neurology Assts.
Psychiatry & Neurology, Neurology in Philadelphia, PA. Organization (NPI-2).
NPI number1346359510
StatusActive
Last updated in NPPESJan 6, 2014
Details
- NPI
- 1346359510
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Penn-Neurology Assts.
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jan 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | PA | Yes |
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | PA |
Practice location
3400 Spruce St2 Ravdin
Philadelphia, PA 19104-4206
Phone 215-662-3606
Mailing address
3400 Spruce St2 Ravdin
Philadelphia, PA 19104-4206
Phone 215-662-3606
Authorized official
Elizabeth Johnston
Executive Director
2156627583
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