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UNIVERSITY OF PENN - MEDICAL GROUP NPI 1659488351


NPI Information

NPI: 1659488351
Provider Name: UNIVERSITY OF PENN - MEDICAL GROUP
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
3737 MARKET ST
3RD FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2775
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UNIVERSITY OF PENN - MEDICAL GROUP is an allergy immunology in Philadelphia, PA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. UNIVERSITY OF PENN - MEDICAL GROUP NPI is 1659488351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3737 MARKET ST
3RD FLOOR
PHILADELPHIA, PA
ZIP 19104-545
Phone: (215) 662-2775
Fax: (215) 615-5055

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 8/25/2006 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
1207K00000XAllergy & ImmunologyPENNSYLVANIAYes
2207KA0200XAllergy & ImmunologyAllergyPENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1043057OTHERPENNSYLVANIABLUE SHIELD
21008657OTHERPENNSYLVANIAMERCY
3496665OTHERPENNSYLVANIAAETNA
40002Y20116OTHERPENNSYLVANIAHEALTHNET
5CA0235OTHERPENNSYLVANIARR MEDICARE
6145644000OTHERPENNSYLVANIAKEYSTONE
70006610360MEDICAIDPENNSYLVANIA
8273538OTHERPENNSYLVANIAMAMSI
95464404OTHERPENNSYLVANIANJ-MEDICAID
10G00108940OTHERPENNSYLVANIAAMERICHOICE
1106631OTHERPENNSYLVANIAHEALTHPARTNERS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.