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

Penn Medicine-Pma

Organization Internal Medicine Physician · NPI 1144895970

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

In the registry since
2021

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

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1144895970
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

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