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

Trustees of the University of Pennsylvania

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1023373511

Trustees of the University of Pennsylvania is an Emergency Medical Services (Emergency Medicine) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

3400 Spruce St Ground Fl Donner
Philadelphia, PA 19104-4206
Phone: (215) 662-6698
Fax: (215) 662-3953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X (PA)
Internal Medicine Physician Taxonomy 207R00000X (PA)

Record details

NPI number1023373511
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTrustees of the University of Pennsylvania
Authorized official Elizabeth Johnston — Authorized Official · (215) 662-7583
NPI enumeratedJuly 10, 2012
Last updated in NPPESJuly 10, 2012
Mailing address3624 Market St, Suite 560w, Philadelphia, PA 19104-2614

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