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

Penn Executive Diagnostic Center, Inc

Organization Internal Medicine Physician · NPI 1639242399

Penn Executive Diagnostic Center, Inc is an Internal Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1801 Market St Ste 200
Philadelphia, PA 19103-1628
Phone: (215) 569-9500
Fax: (215) 569-4839
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1639242399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Klein — Vice President · (215) 569-9500
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1801 Market St, Suite 200, Philadelphia, PA 19103-1628

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