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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1154719276


NPI Information

NPI: 1154719276
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
3400 CIVIC CENTER BLVD
4 WEST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2078
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UNIVERSITY OF PENN-MEDICAL GROUP is a colon rectal surgery in Philadelphia, PA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1154719276. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 CIVIC CENTER BLVD
4 WEST
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-2078

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 12/23/2014 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
1208C00000XColon & Rectal SurgeryPENNSYLVANIAYes

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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