Penn medicine fax number
[DOC File]University of Pennsylvania
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Name, address, phone and fax number of your PCP and referring physician. Photo ID & insurance cards. Referrals and completed. forms enclosed within this packet. NOTE: Any out of pocket co-pays, coinsurance and deductibles are expected on the day of service. ... Penn Medicine ...
[DOCX File]UNIVERSITY of PENNSYLVANIA MEDICAL CENTER
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PENN MEDICINE. Department of Pathology and Laboratory Medicine. Division of Neuropathology. Zissimos Mourelatos, M.D. Director - Neuropathology. 613B Stellar Chance Bldg. 422 Curie Blvd. Philadelphia, PA 19104-6100. mourelaz@uphs.upenn.edu
University of Pennsylvania Health System | Penn Medicine
University of Pennsylvania School of Medicine . 2 Maloney Building - 3600 Spruce Street Philadelphia, PA 19104-4128 . Phone: (215) 662-4497 . Fax: (215) 349-5615 . E-mail: Kristina.DiGiacomo@pennmedicine.upenn.edu
[DOCX File]PENN MEDICINE .edu
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University of Pennsylvania School of Medicine . 2 Maloney Building - 3600 Spruce Street Philadelphia, PA 19104-4128 . Phone: (215) 662-4497 . Fax: (215) 349-5615 . E-mail: Julianne.Harris@uphs.upenn.edu
Penn Medicine Home Health - Lancaster General Health ...
Hospital of the University Of Pennsylvania . DEPARTMENT OF NURSING DEVELOPMENT and EDUCATION. Faculty Evaluation . The purpose of the evaluation is to seek input from the school of nursing faculty regarding the patient care areas used to support students’ clinical experiences.
[DOC File]UNIVERSITY OF PENNSYLVANIA
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The Penn IRB requires researchers to submit reports of the following problems within 10 working days from the time the investigator becomes aware of the event: ... telephone number and fax number here] ... School of Medicine
Microsoft Word - Candy Fax Form 06.doc - Penn Medicine
Complete blocks A and B of this page and fax the completed and signed Request to Recruit (RTR) Form to the Office of Faculty Affairs and Professional Development (FAPD), along with the candidate’s curriculum vitae (CV), Recruitment Advisory Committee (RAC) report (if …
[DOC File]Penn Medicine – School of Medicine
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Clinical Core Query Request Form. Contact: Debbie Gudonis-Senior Research Coordinator. Phone: 215-662-2429. Fax: 215-662-7899. Email: Debbie.Gudonis@uphs.upenn.edu
[DOC File]Clinical Research Protocol - Perelman School of Medicine
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A waiver is needed when an individual within a covered entity (such as the University of Pennsylvania Health System) seeks permission to use and/or disclose Protected Health Information (PHI) for a research project and an authorization for that use and/or disclosure will …
[DOC File]UNIVERSITY OF PENNSYLVANIA
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UNIVERSITY of PENNSYLVANIA MEDICAL CENTER. Department of Pathology and Laboratory Medicine. 3400 Spruce Street, Philadelphia, PA 19104-4283. Fellowship Director: Anupma Nayak, M.D. Director, Breast Pathology Fellowship Program
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