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

Organization Cytopathology Physician · NPI 1740678762

University of Penn-Medical Group is a Cytopathology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
7
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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 662-6503
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Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X (PA)
Cytopathology Physician Taxonomy 207ZC0500X (PA)
Hematology (Pathology) Physician Taxonomy 207ZH0000X (PA)
Neuropathology Physician Taxonomy 207ZN0500X (PA)
Molecular Genetic Pathology (Pathology) Physician Taxonomy 207ZP0007X (PA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X (PA)
Chemical Pathology Physician Taxonomy 207ZP0104X (PA)

Record details

NPI number1740678762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 29, 2014
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address3400 Spruce St, 6 Founders, Philadelphia, PA 19104-4238

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