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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1235527342


NPI Information

NPI: 1235527342
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
3400 CIVIC CENTER BLVD
3RD FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3318
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UNIVERSITY OF PENN-MEDICAL GROUP is a gynecologic oncology obstetrics gynecology in Philadelphia, PA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1235527342. 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
3RD FLOOR
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-3318

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyPENNSYLVANIAYes

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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