Organization · Type 2 NPI

The Pennsylvania State University

Family Medicine Physician · University Park, PA

NPI number 1316063126 Active

Practice location

542 Eisenhower Rd., 308 Student Health Center
University Park, PA 16802-2129

Fax (814) 865-7778

Mailing address

308 Student Health Ctr
University Park, PA 16802-2129

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Gynecology Physician 207VG0400XNone listed
Pediatrics Physician 208000000XNone listed
Physical Therapist 225100000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

About NPI 1316063126

The Pennsylvania State University's National Provider Identifier is 1316063126, issued on Mar 22, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in University Park, PA. The record was last updated on May 16, 2025.