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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1245628353


NPI Information

NPI: 1245628353
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

Address:
3701 MARKET ST
8TH FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6100
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UNIVERSITY OF PENN-MEDICAL GROUP is a reproductive endocrinology obstetrics gynecology in Philadelphia, PA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1245628353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3701 MARKET ST
8TH FLOOR
PHILADELPHIA, PA
ZIP 19104-502
Phone: (215) 662-6100

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
1207V00000XObstetrics & GynecologyPENNSYLVANIANo
2207VE0102XObstetrics & GynecologyReproductive EndocrinologyPENNSYLVANIAYes
3261QA0006XClinic/CenterAmbulatory Fertility FacilityPENNSYLVANIANo

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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