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UNIVERSITY OF PENN-DENTAL MED ASST NPI 1598034639


NPI Information

NPI: 1598034639
Provider Name: UNIVERSITY OF PENN-DENTAL MED ASST

Doing Business As: PENN PERSONALIZED CARE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D2132259

Address:
3400 CIVIC CENTER BLVD
1 EAST PAVILION
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2450
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UNIVERSITY OF PENN-DENTAL MED ASST is an internal medicine in Philadelphia, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. UNIVERSITY OF PENN-DENTAL MED ASST NPI is 1598034639. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Penn Personalized Care.

The provider's business location address is:

3400 CIVIC CENTER BLVD
1 EAST PAVILION
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-2450

The provider's authorized official is Gary W Crooks .
The authorized official title is Md and has the following contact phone number (215) 662-2450.

The CLIA number assigned to this NPI record is 39D2132259 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2011 and was last updated on 1/5/2012.


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
1207R00000XInternal MedicineMD028425EPENNSYLVANIAYes

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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