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Contact Information

UNIVERSITY OF PENN-MEDICAL GROUP
3701 MARKET ST
3RD FLOOR
PHILADELPHIA, PA19104-5502
 Phone: 215-662-6035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Ambulatory Family Planning Facility

261QA0005X
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF PENN-MEDICAL GROUP

NPI Number 1336537448
LBN Legal business name UNIVERSITY OF PENN-MEDICAL GROUP
Authorized official CHANTE JACKSON - (ENROLLMENT LEAD)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2014
Last updated 11/19/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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