UNIVERSITY OF PENN - VASCULAR LAB NPI 1922112325

NPI Information

UNIVERSITY OF PENN - VASCULAR LAB is a vascular surgery surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. UNIVERSITY OF PENN - VASCULAR LAB NPI is 1922112325. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
4 SILVERSTEIN BUILDING
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-2050

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-7583.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.