UNIVERSITY OF PENN - MEDICAL GROUP NPI 1912014614

NPI Information

UNIVERSITY OF PENN - MEDICAL GROUP is a clinical genetics (m.d.) medical genetics in Philadelphia, PA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. UNIVERSITY OF PENN - MEDICAL GROUP NPI is 1912014614. 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
ONE MALONEY
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-4740

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 11/20/2020.

Taxonomy Codes

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Other Identifiers

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