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

University of Penn-Medical Group

Organization Reproductive Endocrinology Physician · NPI 1336537448

University of Penn-Medical Group is a Reproductive Endocrinology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
5

Practice location Address checks out

3701 Market St 3rd Fl
Philadelphia, PA 19104-5502
Phone: (215) 662-6035
Show map & directions

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

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X (PA)
Reproductive Endocrinology Physician Taxonomy 207VE0102X (PA)
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X (PA)
Gynecologic Oncology Physician Taxonomy 207VX0201X
Ambulatory Family Planning Facility Taxonomy 261QA0005X (PA)

Record details

NPI number1336537448
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, 3rd Floor, Philadelphia, PA 19104-5502

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