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

University of Penn-Medical Group

Organization Obstetrics & Gynecology Physician · NPI 1245628353

University of Penn-Medical Group is an Obstetrics & Gynecology 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

3701 Market St 8th Fl
Philadelphia, PA 19104-5502
Phone: (215) 662-6100
Show map & directions

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

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X (PA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (PA)
Ambulatory Fertility Facility Taxonomy 261QA0006X (PA)

Record details

NPI number1245628353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 26, 2014
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address3701 Market St, 8th Floor, Philadelphia, PA 19104-5502

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