| University Of Penn-medical Group | |
|
51 N 39th St Philadelphia PA 19104-2640 | |
| (215) 662-8000 | |
| Not Available |
| Full Name | University Of Penn-medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 51 N 39th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT LEAD) |
| 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 51 N 39th St Philadelphia PA 19104-2640 Ph: (215) 662-8000 | University Of Penn-medical Group 51 N 39th St Philadelphia PA 19104-2640 Ph: (215) 662-8000 |
| NPI Number | 1386751089 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386751089 | NPI | - | NPPES |
| 0006610360 | Medicaid | PA | |
| 06638 | Other | PA | HEALTHPARTNERS |
| 5543509 | Other | NJ | NJ-MEDICAID |
| 273200 | Other | PA | MAMSI |
| 40063 | Other | PA | MERCY |
| G00048520 | Other | PA | AMERICHOICE |
| 0053945000 | Other | PA | KEYSTONE |
| 0002Y20116 | Other | PA | HEALTHNET |
| 147249 | Other | PA | BLUE SHIELD |
| 003473 | Other | PA | AETNA |
| CA0235 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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