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Contact Information

UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
3 SILVERSTEIN BUILDING, SUITE D
PHILADELPHIA, PA19104-4206
 Phone: 215-662-6932
 Fax: 215-662-7899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF PENN MEDICAL GROUP · (Female)

NPI Number 1194832899
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2006
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 0006610360
  • PA Other 496686 AETNA
  • PA Other G00048530 AMERICHOICE
  • PA Other 043054 BLUE SHIELD
  • PA Other 0002Y20116 HEALTHNET
  • PA Other 10724 HEALTHPARTNERS
  • PA Other 0345789000 KEYSTONE
  • PA Other 273224 MAMSI
  • PA Other 1010882 MERCY
  • PA Other 5467403 NJ-MEDICAID
  • PA Other CA0235 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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