National Provider Identifier Database

UNIVERSITY OF PENN MEDICAL GROUP
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
5 SILVERSTEIN BUILDING
PHILADELPHIA, PA19104-4238
Phone: 215-662-2777
Fax:
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X
Facial Plastic Surgery 207YS0123X
Otolaryngic Allergy 207YX0602X
Otolaryngology/Facial Plastic Surgery 207YX0905X
Otology & Neurotology 207YX0901X

* Indicates primary specialty

NPI Profile & details for UNIVERSITY OF PENN-MEDICAL GROUP

NPI Number 1225426331
Legal business name
LBN
UNIVERSITY OF PENN-MEDICAL GROUP
Authorized official CHANTE JACKSON - (ENROLLMENT LEAD)
Entity Organization
Organization subpart No
Enumeration date 12/26/2014
Last updated 11/19/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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