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

University of Penn-Medical Group

Organization Colon & Rectal Surgery Physician · NPI 1154719276

University of Penn-Medical Group is a Colon & Rectal Surgery Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014

Practice location Address checks out

3400 Civic Center Blvd 4 W
Philadelphia, PA 19104-5127
Phone: (215) 662-2078
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X (PA)

Record details

NPI number1154719276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Payer Enrollment Manager · (223) 341-8516
NPI enumeratedDecember 23, 2014
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address3400 Civic Center Blvd, 4 West, Philadelphia, PA 19104-5127

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