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 Syst

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1790737468

Clinical Care Associates of the University of Pennsylvania Health Syst is an Emergency Medical Services (Emergency Medicine) Physician in Bala Cynwyd, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
13

Practice location Address checks out

150 Monument Rd Fl 4
Bala Cynwyd, PA 19004-1702
Phone: (610) 239-2871
Fax: (610) 239-2885
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X (PA)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X
Infectious Disease Physician Taxonomy 207RI0200X
Rheumatology Physician Taxonomy 207RR0500X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X (PA)

Record details

NPI number1790737468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedMay 17, 2006
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address150 Monument Rd Fl 4, Bala Cynwyd, PA 19004-1702

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