University of Penn - Medical Group
University of Penn - Medical Group is an Adult Congenital Heart Disease Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
3400 Spruce StPhiladelphia, PA 19104-4238
Phone: (888) 722-3497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Genetics (M.D.) Physician (primary) | Taxonomy 207SG0201X |
|---|---|
| Adult Congenital Heart Disease Physician | Taxonomy 207RA0002X |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1184430258 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chante Jackson — Project Lead · (267) 207-7303 |
| NPI enumerated | December 4, 2024 |
| Last updated in NPPES | December 4, 2024 |
| Certification date | December 4, 2024 |
| Mailing address | 3400 Spruce St, Philadelphia, PA 19104-4238 |