University of Penn - Dermatology
Organization Active NPI Clinical Medical Laboratory · Philadelphia, PA
NPI 1003946153 · NPPES record last updated Apr 12, 2013
Key facts
- NPI
- 1003946153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- UNIVERSITY OF PENN - DERMATOLOGY
- Practice address
- 3400 Spruce St
2 Rhoads
Philadelphia, PA 19104-4206 - Phone
- (215) 662-2737
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Johnston
- Title
- Enrollment Coordinator
- Phone
- (215) 662-7583
Practitioners 13
-
Corbett Berry, MD
-
Edward E Bondi, MD
-
Amy Kathleen Forrestel, M.D.
-
Jing Huang, M.D.
-
Alaina J James, MD, PHD
-
Meera Sivendran, M.D.
-
Katherine T Steele, M.D.
-
Aileen Yenting Chang, M.D.
-
Daniel J Lewis, MD
-
Caroline Anne Nelson, M.D.
-
Olaf Rodriguez, MD
National Provider Directory
Locations
801 Spruce St
#10
Philadelphia, PA 19107
Phone (267) 519-0154
3600 Spruce St
#2
Philadelphia, PA 19104
Phone (215) 662-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
3400 Spruce St
2 Rhoads
Philadelphia, PA 19104-4206
Mailing address
3624 Market St
Suite 560W
Philadelphia, PA 19104-2614
Phone (215) 662-2286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14945 | Other | PA | HEALTHPARTNERS |
| 2214380000 | Other | PA | KEYSTONE |
| 80939 | Other | PA | BLUE SHIELD |
| CA5541 | Other | PA | RAILROAD MEDICARE |
| 1007486690 | Medicaid | PA | |
| 1024157 | Other | PA | KEYSTONE MERCY |
| 1117604 | Other | PA | AETNA |
Other providers in Philadelphia, PA
- University City Dental Center
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- University Medevac, LLC
- University Neurosurgical, PC
- University of Penn - Anesthesia
- University of Penn - Dermatology
- University of Penn - Medical Group
- University of Penn - Medical Group
- University of Penn - Medical Group
- University of Penn - Medical Group
All providers in Philadelphia, PA · Clinical Medical Laboratory in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.