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PENN EXECUTIVE DIAGNOSTIC CENTER, INC.
NPI 1639242399
Internal Medicine in Philadelphia, PA

Active since November 17, 2006
1801 MARKET ST, SUITE 200, PHILADELPHIA, PA 19103(215) 569-9500(215) 569-4839 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penn Executive Diagnostic Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN EXECUTIVE DIAGNOSTIC CENTER, INC. (NPI 1639242399) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since November 2006. The organization lists Carol Sue Klein, Vice President, as its authorized official.

NPPES Registry Identity

NPI1639242399
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePENN EXECUTIVE DIAGNOSTIC CENTER, INC.
Location Address1801 MARKET ST, SUITE 200Philadelphia, PA 19103-1628
Mailing Address1801 Market St, Suite 200Philadelphia, PA 19103-1628 · (215) 569-9500 · Fax (215) 569-4839
Phone(215) 569-9500
Fax(215) 569-4839
Organization SubpartNo
Authorized OfficialCarol Sue KleinVice President · (215) 569-9500
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639242399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1801 MARKET ST, Philadelphia, PA 19103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENN EXECUTIVE DIAGNOSTIC CENTER, INC.
Clinic/Center (Multi-Specialty)
1801 MARKET ST, SUITE 200
PHILADELPHIA, PA 19103
Philadelphia County (215) 569-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn Executive Diagnostic Center, Inc.'s NPI number?

The NPI number for Penn Executive Diagnostic Center, Inc. is 1639242399. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Penn Executive Diagnostic Center, Inc. located?

Penn Executive Diagnostic Center, Inc. is located at 1801 Market St Suite 200, Philadelphia, PA 19103. The listed phone number is (215) 569-9500.

What is Penn Executive Diagnostic Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Penn Executive Diagnostic Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.