NPI 1154719276

University of Penn-Medical Group

Organisation Colon & Rectal Surgery Physician Philadelphia, PA

Practice location

Address: 3400 Civic Center Blvd 4 West, Philadelphia, PA 19104-5127
Phone: (215) 662-2078

Authorised official

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

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Pennsylvania →

Registry record

NPI: 1154719276
Entity type: Organization
NPI issued: 23 Dec 2014
Record last updated: 31 Jul 2025

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.