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

University of Penn - Medical Group

Organization Allergy & Immunology Physician · NPI 1659488351

University of Penn - Medical Group is an Allergy & Immunology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3737 Market St 3rd Fl
Philadelphia, PA 19104-5545
Phone: (215) 662-2775
Fax: (215) 615-5055
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X (PA)
Allergy Physician Taxonomy 207KA0200X (PA)

Record details

NPI number1659488351
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 address3624 Market St, Suite 560w, Philadelphia, PA 19104-2614

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