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

University of Penn-Medical Group

Organization Surgery Physician · NPI 1780072892

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

Licensed in
PA
In the registry since
2014

Practice location Address checks out

3400 Civic Center Blvd 4th Fl South Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 662-3580
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (PA)

Record details

NPI number1780072892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedDecember 26, 2014
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address3400 Civic Center Blvd, 4th Floor, South Pavilion, Philadelphia, PA 19104-5127

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