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

University of Penn - Medical Group

Organization Cardiovascular Disease Physician · NPI 1093725145

University of Penn - Medical Group is a Cardiovascular Disease Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3400 Civic Center Blvd East Pavilion 2nd Fl
Philadelphia, PA 19104-5127
Phone: (215) 615-4949
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (PA)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X (PA)
Interventional Cardiology Physician Taxonomy 207RI0011X (PA)
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1093725145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Payer Enrollment Manager · (223) 341-8516
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104-5127

Other providers in Philadelphia