Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penn Medicine Ccp

Organization Cardiovascular Disease Physician · NPI 1891042826

Penn Medicine Ccp is a Cardiovascular Disease Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
3

Practice location Address checks out

227 N Broad St Ste 200
Philadelphia, PA 19107-1503
Phone: (215) 564-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (PA)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X (PA)
Interventional Cardiology Physician Taxonomy 207RI0011X (PA)

Record details

NPI number1891042826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Johnston — Executive Director · (215) 662-7583
NPI enumeratedAugust 9, 2012
Last updated in NPPESFebruary 12, 2015
Mailing address227 N Broad St, Suite 200, Philadelphia, PA 19107-1503

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