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

University of Penn - Medical Group

Organization Internal Medicine Physician · NPI 1912014614

University of Penn - Medical Group is an Internal Medicine Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

3400 Spruce St One Maloney
Philadelphia, PA 19104-4206
Phone: (215) 662-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1912014614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedAugust 25, 2006
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206

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