Provider First Line Business Practice Location Address:
3400 SPRUCE STREET
Provider Second Line Business Practice Location Address:
HOSPITAL OF UNIVERSITY OF PENN - DEPT OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-662-3751
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2007