| University Of Penn - Medical Group | |
|
1800 Lombard St Ste 206 Philadelphia PA 19146-1414 | |
| (215) 615-2222 | |
| (215) 893-7317 |
| Full Name | University Of Penn - Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Lombard St Ste 206, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT COOR) |
| Authorized Official Contact | 2156626187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Penn - Medical Group Po Box 824320 Philadelphia PA 19182-4320 Ph: (215) 662-6187 | University Of Penn - Medical Group 1800 Lombard St Ste 206 Philadelphia PA 19146-1414 Ph: (215) 615-2222 |
| NPI Number | 1114481504 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114481504 | NPI | - | NPPES |
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