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 Internal Medicine Physician · NPI 1982717641

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

Licensed in
PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3400 Civic Center Blvd 1st Fl
Philadelphia, PA 19104-5127
Phone: (215) 662-2454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X (PA)
Internal Medicine Physician Taxonomy 207R00000X (PA)

Record details

NPI number1982717641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chante Jackson — Enrollment Lead · (215) 662-6187
NPI enumeratedAugust 16, 2006
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address3400 Civic Center Blvd, 1st Floor, Philadelphia, PA 19104-5127

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