Provider Demographics
NPI:1649401142
Name:UNIVERSITY OF PENNSYLVANIA HOSPITAL
Entity Type:Organization
Organization Name:UNIVERSITY OF PENNSYLVANIA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL EDUCATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:LITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-662-3043
Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:1-SILVERSTEIN
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:215-662-3043
Mailing Address - Fax:215-662-7868
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:1-SILVERSTEIN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-3043
Practice Address - Fax:215-662-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419429282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital