NPI 1174636153
University of Penn - Dermatology
Practice location
- Address
- 3400 Spruce St 2 Rhoads, Philadelphia, PA 19104-4206
- Phone
- (215) 662-2737
- Fax
- (215) 349-8339
- Mailing address
- 3624 Market St Suite 560w, Philadelphia, PA 19104-2614
Authorised official
- Name
- Elizabeth Johnston
- Title
- Executive Director
- Phone
- (215) 662-7583
Registered specialties (4)
Dermatology Physician
Primary
Hematology & Oncology Physician
Plastic Surgery Physician
Surgery Physician
Registry record
- NPI
- 1174636153
- Entity type
- Organization
- NPI issued
- 16 Aug 2006
- Record last updated
- 23 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.