UNIVERSITY OF PENN - MEDICAL GROUP NPI 1720553001

NPI Information

  • NPI: 1720553001
  • Provider Name: UNIVERSITY OF PENN - MEDICAL GROUP
  • Classification: Transplant Surgery - 204F00000X
  • Entity Type: Organization
  • Address: 4923 STANTON OGLETOWN RD
    NEWARK, DE
    ZIP 19713
  • Phone: (215) 662-6200

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NPI Details

UNIVERSITY OF PENN - MEDICAL GROUP is a transplant surgery in Newark, DE. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee UNIVERSITY OF PENN - MEDICAL GROUP NPI is 1720553001. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4923 STANTON OGLETOWN RD
NEWARK, DE
ZIP 19713-081
Phone: (215) 662-6200
Fax: (215) 662-2244

The provider's authorized official is Chante L Jackson .
The authorized official title is Enrollment Coor and has the following contact phone number (215) 662-6187.

The enumeration date for this NPI number is 10/12/2018 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204F00000XTransplant SurgeryYes
2207RG0100XInternal MedicineGastroenterologyNo

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: 3/30/2025

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