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

University of Penn-Medical Group

Organization Sports Medicine (Internal Medicine) Physician · NPI 1285022202

University of Penn-Medical Group is a Sports Medicine (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

3737 Market St 9th Fl
Philadelphia, PA 19104-5545
Phone: (215) 662-8777
Show map & directions

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

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X (PA)

Record details

NPI number1285022202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Emrollment Lead · (215) 662-6187
NPI enumeratedDecember 29, 2014
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address3737 Market St, 9th Floor, Philadelphia, PA 19104-5545

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