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

University of Penn-Medical Group

Organization Gynecologic Oncology Physician · NPI 1235527342

University of Penn-Medical Group is a Gynecologic Oncology 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 3rd Fl
Philadelphia, PA 19104-5127
Phone: (215) 662-3318
Show map & directions

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

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X (PA)

Record details

NPI number1235527342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 26, 2014
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address3400 Civic Center Blvd, 3rd Floor, Philadelphia, PA 19104-5127

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