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

University of Penn - Medical Group

Organization Transplant Surgery Physician · NPI 1720553001

University of Penn - Medical Group is a Transplant Surgery Physician in Newark, Delaware. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

4923 Stanton Ogletown Rd
Newark, DE 19713-2081
Phone: (215) 662-6200
Fax: (215) 662-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X
Gastroenterology Physician Taxonomy 207RG0100X

Record details

NPI number1720553001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Coor · (215) 662-6187
NPI enumeratedOctober 12, 2018
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing addressPo Box 824320, Philadelphia, PA 19182-4320

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