Provider Demographics
NPI:1164736948
Name:UNIVERSITY OF PENNSYLVANIA
Entity Type:Organization
Organization Name:UNIVERSITY OF PENNSYLVANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM CHAIR AND PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TOMASZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-615-6510
Mailing Address - Street 1:125 S 31ST ST
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3413
Mailing Address - Country:US
Mailing Address - Phone:215-898-0226
Mailing Address - Fax:215-494-5444
Practice Address - Street 1:125 S 31ST ST
Practice Address - Street 2:SUITE 2000
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3413
Practice Address - Country:US
Practice Address - Phone:215-898-0226
Practice Address - Fax:215-494-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049539L282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital