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

University of Penn - Medical Group

Organization Internal Medicine Physician · NPI 1568579266

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

In the registry since
2006
Specialties on file
2

Practice location Address checks out

3400 Spruce St 1 Maloney
Philadelphia, PA 19104-4206
Phone: (215) 662-2300
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1568579266
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 Market St, 1 Maloney Bldg, Philadelphia, PA 19104-3306

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