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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1073902169


NPI Information

NPI: 1073902169
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
3400 SPRUCE ST
2 RHOADS PAVILION
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2737
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UNIVERSITY OF PENN-MEDICAL GROUP is a dermatopathology dermatology in Philadelphia, PA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1073902169. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
2 RHOADS PAVILION
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 662-2737

The provider's authorized official is Chante L Jackson .
The authorized official title is Enrollment Lead and has the following contact phone number (215) 662-6187.

The enumeration date for this NPI number is 1/13/2015 and was last updated on 11/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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