Provider First Line Business Practice Location Address:
3400 CIVIC CENTER BLVD
Provider Second Line Business Practice Location Address:
HOSPITAL OF THE UNIVERSITY OF PENN DEPT. OF ANESTHES
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-5127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-773-1100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2017