University of Penn-Medical Group

NPI #1285022202 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1285022202
Entity Type
Organization
Organization Name
University of Penn-Medical Group
Primary Specialty
Internal Medicine - Sports Medicine
Enumeration Date
Dec 29, 2014
Last Updated
Nov 19, 2020

Practice Location

Address
3737 MARKET ST
Address 2
9TH FLOOR
ZIP Code
19104-5545
Phone
(215) 662-8777

Authorized Official

Name
CHANTE L JACKSON
Title
EMROLLMENT LEAD
Phone
(215) 662-6187

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Sports MedicineSports Medicine

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