TRUSTEES OF THE UNIV OF PA NPI 1508972928

NPI Information

NPI: 1508972928
Provider Name: TRUSTEES OF THE UNIV OF PA
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
250 KING OF PRUSSIA RD
RADNOR, PA
ZIP 19087
Phone: (610) 902-2000
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TRUSTEES OF THE UNIV OF PA is a clinical genetics (m.d.) medical genetics in Radnor, PA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. TRUSTEES OF THE UNIV OF PA NPI is 1508972928. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

250 KING OF PRUSSIA RD
RADNOR, PA
ZIP 19087-220
Phone: (610) 902-2000

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 8/21/2006 and was last updated on 5/9/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207SG0203X	Medical Genetics	Clinical Molecular Genetics	No
2	207SG0205X	Medical Genetics	Ph.D. Medical Genetics	No
3	207SM0001X	Medical Genetics	Molecular Genetic Pathology	No
4	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0143087000	OTHER	PENNSYLVANIA	KEYSTONE
2	006433	MEDICARE PIN	PENNSYLVANIA
3	708403	OTHER	PENNSYLVANIA	AETNA
4	1130183	OTHER	PENNSYLVANIA	MERCY
5	CN3127	OTHER	PENNSYLVANIA	RR MEDICARE
6	2Y21509	OTHER	PENNSYLVANIA	HEALTHNET
7	666274	OTHER	PENNSYLVANIA	BLUE SHIELD
8	1001258770	MEDICAID	PENNSYLVANIA
9	17609	OTHER	PENNSYLVANIA	HEALTHPARTERNS

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: 5/5/2024

NPI Synchronization or Removal

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