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

University of Penn-Medical Group

Organization Clinical Genetics (M.D.) Physician · NPI 1518355627

University of Penn-Medical Group is a Clinical Genetics (M.D.) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
4

Practice location Address checks out

3400 Spruce St 8 Ravdin
Philadelphia, PA 19104-4238
Phone: (215) 662-3228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X (PA)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X (PA)
Pediatrics Physician Taxonomy 208000000X (PA)
Pediatric Cardiology Physician Taxonomy 2080P0202X (PA)

Record details

NPI number1518355627
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 address3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104-4238

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