University of Penn - Medical Group
University of Penn - Medical Group is a Family Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
3615 Chestnut St Ralston-Penn CtrPhiladelphia, PA 19104-2612
Phone: (215) 662-2746
Fax: (215) 349-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Pulmonary Disease Physician | Taxonomy 207RP1001X |
Record details
| NPI number | 1497767495 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chante Jackson — Enrollment Lead · (215) 662-6187 |
| NPI enumerated | August 12, 2006 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | 3615 Ralston Center, Ralston Penn Center, Philadelphia, PA 19104-2612 |
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