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

University of Penn-Medical Group

Organization Neurological Surgery Physician · NPI 1790173805

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

Licensed in
PA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3400 Spruce St 3 Silverstein Bldg
Philadelphia, PA 19104-4238
Phone: (215) 662-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X (PA)
Neuroradiology Physician Taxonomy 2085N0700X (PA)

Record details

NPI number1790173805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrolllment Lead · (215) 662-6187
NPI enumeratedDecember 26, 2014
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address3400 Spruce St, 3 Silverstein Building, Philadelphia, PA 19104-4238

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