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

Trustees of the University of Pennsylvania

Organization Family Medicine Physician · NPI 1124882949

Trustees of the University of Pennsylvania is a Family Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

51 N 39th St
Philadelphia, PA 19104-2640
Phone: (215) 662-8000
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

Record details

NPI number1124882949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Payer Supervisor · (267) 207-7303
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address51 N 39th St, Philadelphia, PA 19104-2640

Other providers in Philadelphia