Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinical Care Associates of the University of Pennsylvania Health

Organization Family Medicine Physician · NPI 1972682995

Clinical Care Associates of the University of Pennsylvania Health is a Family Medicine Physician in Radnor, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

250 King Of Prussia Rd 4th Fl
Radnor, PA 19087-5220
Phone: (610) 902-1720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1972682995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedNovember 2, 2006
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address250 King Of Prussia Rd, 4th Floor, Radnor, PA 19087-5220

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