University of Penn-Medical Group
NPI #1396133559 in Berwyn, Pennsylvania
Provider Information
- NPI Number
- 1396133559
- Entity Type
- Organization
- Organization Name
- University of Penn-Medical Group
- Primary Specialty
- Surgery
- Enumeration Date
- Dec 22, 2014
- Last Updated
- Nov 19, 2020
Practice Location
- Address
- 1001 CHESTERBROOK BLVD
- Address 2
- 3RD FLOOR
- City
- Berwyn
- State
- Pennsylvania
- ZIP Code
- 19312-3805
- Phone
- (610) 576-7500
Authorized Official
- Name
- CHANTE L JACKSON
- Title
- ENROLLMENT LEAD
- Phone
- (215) 662-6187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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