Healthcare Provider Details

I. General information

NPI: 1487078713
Provider Name (Legal Business Name): HAHNEMANN UNIVERSITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2014
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 N BROAD ST
PHILADELPHIA PA
19102-1121
US

IV. Provider business mailing address

230 N BROAD ST
PHILADELPHIA PA
19102-1121
US

V. Phone/Fax

Practice location:
  • Phone: 215-762-3585
  • Fax:
Mailing address:
  • Phone: 215-762-3585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ALLISON STEIN
Title or Position: PROGRAN ADMINISTRATOR
Credential:
Phone: 215-762-3585