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

University of Penn-Medical Group

Organization Internal Medicine Physician · NPI 1255729364

University of Penn-Medical Group is an Internal Medicine 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 Spruce St 19 Penn Tower
Philadelphia, PA 19104-4238
Phone: (215) 662-3285
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (PA)

Record details

NPI number1255729364
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 address3400 Spruce St, 19 Penn Tower, Philadelphia, PA 19104-4238

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