Trustees of the University of Pennsylvania

NPI #1962518381 in Radnor, Pennsylvania

Provider Information

NPI Number
1962518381
Entity Type
Organization
Organization Name
Trustees of the University of Pennsylvania
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Aug 21, 2006
Last Updated
Jan 6, 2014

Practice Location

Address
250 KING OF PRUSSIA RD
City
Radnor
ZIP Code
19087-5220
Phone
(610) 902-5600

Authorized Official

Name
ELIZABETH JOHNSTON
Title
EXECUTIVE DIRECTOR
Phone
(215) 662-7583

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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