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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1518355627


NPI Information

NPI: 1518355627
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
3400 SPRUCE ST
8 RAVDIN
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3228
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UNIVERSITY OF PENN-MEDICAL GROUP is a neonatal-perinatal medicine pediatrics in Philadelphia, PA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1518355627. 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
8 RAVDIN
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 662-3228

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
1207SG0201XMedical GeneticsClinical Genetics (M.D.)PENNSYLVANIANo
2208000000XPediatricsPENNSYLVANIANo
32080N0001XPediatricsNeonatal-Perinatal MedicinePENNSYLVANIAYes
42080P0202XPediatricsPediatric CardiologyPENNSYLVANIANo

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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