NPI 1073902169

University of Penn-Medical Group

Organisation Dermatopathology Physician Philadelphia, PA

Practice location

Address: 3400 Spruce St 2 Rhoads Pavilion, Philadelphia, PA 19104-4238
Phone: (215) 662-2737

Authorised official

Name: Stacy Greco
Title: Payer Enrollment Manager
Phone: (223) 341-8516

Registered specialties (5)

Dermatopathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X

Other Dermatology providers in Pennsylvania →

Dentist

Dental Providers Taxonomy 122300000X

Other Dentist providers in Pennsylvania →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X

Oral and Maxillofacial Pathology Dentistry

Dental Providers Taxonomy 1223P0106X

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Registry record

NPI: 1073902169
Entity type: Organization
NPI issued: 13 Jan 2015
Record last updated: 21 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.