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

University of Penn-Medical Group

Organization Anesthesiology Physician · NPI 1235527359

University of Penn-Medical Group is an Anesthesiology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

3400 Spruce St 4 Dulles
Philadelphia, PA 19104-4238
Phone: (215) 349-8310
Show map & directions

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

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X (PA)
Anesthesiology Physician Taxonomy 207L00000X (PA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X (PA)

Record details

NPI number1235527359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 23, 2014
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address3400 Spruce St, 4 Dulles, Philadelphia, PA 19104-4238

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