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UNIVERSITY OF PENN - DERMATOLOGY NPI 1174636153


NPI Information

NPI: 1174636153
Provider Name: UNIVERSITY OF PENN - DERMATOLOGY
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
3400 SPRUCE ST
2 RHOADS
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2737
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UNIVERSITY OF PENN - DERMATOLOGY is a dermatology in Philadelphia, PA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. UNIVERSITY OF PENN - DERMATOLOGY NPI is 1174636153. 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
2 RHOADS
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-2737
Fax: (215) 349-8339

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 8/16/2006 and was last updated on 1/23/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryPENNSYLVANIANo
2208200000XPlastic SurgeryNo
3207RH0003XInternal MedicineHematology & OncologyNo
4207N00000XDermatologyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1196218MEDICARE PINPENNSYLVANIA
20156456000OTHERPENNSYLVANIAKEYSTONE
31003289OTHERPENNSYLVANIAMERCY
4G00108540OTHERPENNSYLVANIAAMERICHOICE
51007486690MEDICAIDPENNSYLVANIA
6005987OTHERPENNSYLVANIAAETNA
7196218OTHERPENNSYLVANIABLUE SHIELD
8273488OTHERPENNSYLVANIAMAMSI
9CA5541OTHERPENNSYLVANIARR MEDICARE
1010385OTHERPENNSYLVANIAHEALTHPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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