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

Penn Medicine-Pma

Organization Gastroenterology Physician · NPI 1013582840

Penn Medicine-Pma is a Gastroenterology Physician in Audubon, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

2650 Egypt Rd
Audubon, PA 19403-2302
Phone: (215) 662-6187
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Gastroenterology Physician Taxonomy 207RG0100X

Record details

NPI number1013582840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Payer Supervisor · (267) 207-7303
NPI enumeratedMay 24, 2021
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address150 Monument Rd, Bala Cynwyd, PA 19004-1702