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

University of Penn-Medical Group

Organization Neurology Physician · NPI 1164810271

University of Penn-Medical Group is a Neurology 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 2nd Fl South Pavillion
Philadelphia, PA 19104-5127
Phone: (215) 662-3606
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X (PA)

Record details

NPI number1164810271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Greco — Payer Enrollment Manager · (223) 341-8516
NPI enumeratedDecember 26, 2014
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address3400 Civic Center Blvd, 2nd Floor South Pavillion, Philadelphia, PA 19104-5127

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