MEDICARE: HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1003104530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA

Provider Business Mailing Address
First Line	:	2121 MARKET ST APT 220
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-1309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 MARKET ST APT 220
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-1309
Country	:	US
Telephone Number	:	585-235-7653
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT
Name	:	DR. JOSEPH HATEM
Credential	:
Telephone Number	:	585-354-7653

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	07/19/2011

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Directions to “HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA ” Practice Location

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