Organization · Type 2 NPI

Univ of Penn - Radiology

Vascular & Interventional Radiology Physician · Philadelphia, PA

NPI number 1013920503 Active

Practice location

3400 Spruce St, Ground Floor Dulles
Philadelphia, PA 19104-4206

Call (215) 662-3005 Map

Fax (215) 662-7011

Mailing address

3624 Market St, Suite 560W
Philadelphia, PA 19104-2614

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700XNone listed
Nuclear Radiology Physician 2085N0904XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1013920503

Univ of Penn - Radiology's National Provider Identifier is 1013920503, issued on Aug 14, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 11, 2025.