Organization · NPI-2
Clinical Care Associates Of The University Of Pennsylvania Health Syst
Hospitalist · Bala Cynwyd, PA
NPI number1790737468
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1790737468
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinical Care Associates Of The University Of Pennsylvania Health Syst
- Organization subpart
- No
- Enumeration date
- May 17, 2006
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 208600000X | Surgery | – | PA | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 207RR0500X | Internal Medicine, Rheumatology | – | – | |
| 207RS0012X | Internal Medicine, Sleep Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | – | – | |
| 207PS0010X | Emergency Medicine, Sports Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | PA |
Practice location
150 Monument Rd Fl 4Bala Cynwyd, PA 19004-1702
Phone 610-239-2871 · Fax 610-239-2885
Mailing address
150 Monument Rd Fl 4Bala Cynwyd, PA 19004-1702
Phone 610-239-2871 · Fax 610-239-2885
Authorized official
Chante L Jackson
Enrollment Lead
2156626187
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