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

University of Penn-Dental Med Asst

Organization Internal Medicine Physician · NPI 1598034639

University of Penn-Dental Med Asst is an Internal Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011

Practice location Address checks out

3400 Civic Center Blvd 1 East Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 662-2450
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD028425E (PA)

Record details

NPI number1598034639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Crooks — Md · (215) 662-2450
Other names Penn Personalized Care
NPI enumeratedDecember 19, 2011
Last updated in NPPESJanuary 5, 2012
Mailing address3400 Civic Center Blvd, 1 East Pavilion, Philadelphia, PA 19104-5127

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