NPI 1497874077

Trustees of the University of Pennsylvania

Organisation Oral & Maxillofacial Surgery (D.M.D.) Philadelphia, PA

Practice location

Address: 240 S 40th St, Philadelphia, PA 19104-6030
Phone: (215) 898-5344
Fax: (215) 898-3139
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

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Registry record

NPI: 1497874077
Entity type: Organization
NPI issued: 28 Mar 2007
Record last updated: 22 Aug 2020

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.