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

Organization Family Medicine Physician · NPI 1881707842

Trustees of the University of Pennsylvania is a Family Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

51 N 39th St 7 Floor-Mutch Bldg
Philadelphia, PA 19104-2640
Phone: (215) 662-8777
Fax: (215) 243-3290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (PA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X (PA)

Record details

NPI number1881707842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Johnston — Executive Director · (215) 662-7583
NPI enumeratedAugust 16, 2006
Last updated in NPPESMay 1, 2008
Mailing address3624 Market St, Suite 560 W, Philadelphia, PA 19104-2614

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