NPI 1225426331

University of Penn-Medical Group

Organisation Otolaryngology Physician Philadelphia, PA

Practice location

Address: 3400 Spruce St 5 Silverstein Building, Philadelphia, PA 19104-4238
Phone: (215) 662-2777

Authorised official

Name: Chante L Jackson
Title: Enrollment Lead
Phone: (215) 662-6187

Registered specialties (5)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

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Facial Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X

Otolaryngic Allergy Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0602X

Otology & Neurotology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0901X

Otolaryngology/Facial Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X

Registry record

NPI: 1225426331
Entity type: Organization
NPI issued: 26 Dec 2014
Record last updated: 19 Nov 2020

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.