Provider Demographics
NPI:1063674182
Name:TENET HEALTH PHILA INC
Entity Type:Organization
Organization Name:TENET HEALTH PHILA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF GRADUATE MEDICAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:YANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:215-762-2609
Mailing Address - Street 1:1427 VINE ST
Mailing Address - Street 2:6TH FLOOR, INTERNAL MEDICINE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1427 VINE ST
Practice Address - Street 2:6TH FLOOR, INTERNAL MEDICINE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1031
Practice Address - Country:US
Practice Address - Phone:215-762-6565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT182586282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital