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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1235527359


NPI Information

NPI: 1235527359
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Anesthesiology - 207LC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
3400 SPRUCE ST
4 DULLES
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 349-8310
Get Directions

UNIVERSITY OF PENN-MEDICAL GROUP is a critical care medicine anesthesiology in Philadelphia, PA. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1235527359. 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
4 DULLES
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 349-8310

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
1207L00000XAnesthesiologyPENNSYLVANIANo
2207LC0200XAnesthesiologyCritical Care MedicinePENNSYLVANIAYes
3207LP2900XAnesthesiologyPain MedicinePENNSYLVANIANo

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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