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

Organization Surgery Physician · NPI 1275921298

University of Penn-Medical Group is a Surgery 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
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Practice location Address checks out

51 N 39th St Mob Ste 120
Philadelphia, PA 19104-2640
Phone: (215) 662-7320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (PA)
Surgical Critical Care Physician Taxonomy 2086S0102X (PA)
Trauma Surgery Physician Taxonomy 2086S0127X (PA)

Record details

NPI number1275921298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 29, 2014
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640

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