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 1306234414

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

51 N 39th St
Philadelphia, PA 19104-2640
Phone: (215) 349-8310
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X (PA)
Anesthesiology Physician Taxonomy 207L00000X (PA)
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X (PA)

Record details

NPI number1306234414
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 address51 N 39th St, Philadelphia, PA 19104-2640

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