University of Penn-Medical Group
NPI #1609264720 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1609264720
- Entity Type
- Organization
- Organization Name
- University of Penn-Medical Group
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Dec 23, 2014
- Last Updated
- Jul 9, 2024
Practice Location
- Address
- 3400 SPRUCE ST
- Address 2
- 6 DULLES
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19104-4238
- Phone
- (215) 349-8310
Authorized Official
- Name
- CHANTE L JACKSON
- Title
- ENROLLMENT LEAD
- Phone
- (267) 456-2634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Critical Care Medicine — Critical Care Medicine |
| Anesthesiology |
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