UNIVERSITY OF PENN-MEDICAL GROUP NPI 1164810271

NPI Information

UNIVERSITY OF PENN-MEDICAL GROUP is a neurology psychiatry neurology in Philadelphia, PA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1164810271. 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
2ND FLOOR SOUTH PAVILLION
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-3606

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 12/26/2014 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:

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