Provider Demographics
NPI:1003209834
Name:UNIVERSITY OF PENNSYLVANIA
Entity Type:Organization
Organization Name:UNIVERSITY OF PENNSYLVANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-898-8417
Mailing Address - Street 1:422 CURIE BLVD
Mailing Address - Street 2:1009C STELLAR CHANCE LABORATORIES
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4860
Mailing Address - Country:US
Mailing Address - Phone:215-898-9238
Mailing Address - Fax:
Practice Address - Street 1:422 CURIE BLVD
Practice Address - Street 2:1009C STELLAR CHANCE LABORATORIES
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4860
Practice Address - Country:US
Practice Address - Phone:215-898-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050854L282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital