NPI 1184430258

University of Penn - Medical Group

Organisation Clinical Genetics (M.D.) Physician Philadelphia, PA

Practice location

Address: 3400 Spruce St, Philadelphia, PA 19104-4238
Phone: (888) 722-3497

Authorised official

Name: Chante L Jackson
Title: Project Lead
Phone: (267) 207-7303

Registered specialties (4)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Pennsylvania →

Adult Congenital Heart Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RA0002X

Other Internal Medicine providers in Pennsylvania →

Cardiovascular Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Pennsylvania →

Registry record

NPI: 1184430258
Entity type: Organization
NPI issued: 4 Dec 2024
Record last updated: 4 Dec 2024

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.