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 Anesthesiology Physician · NPI 1043800667

Trustees of the University of Pennsylvania is an Anesthesiology Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (215) 662-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1043800667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedJanuary 19, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing address240 S 40th St, Philadelphia, PA 19104-6030

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