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

University of Penn - Medical Group

Organization Gastroenterology Physician · NPI 1477660173

University of Penn - Medical Group is a Gastroenterology Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3400 Spruce St 3 Dulles Bldg
Philadelphia, PA 19104-4206
Phone: (215) 349-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1477660173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedAugust 25, 2006
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address3400 Spruce St, 3 Dulles, Philadelphia, PA 19104-4206

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