NPI 1720553001
University of Penn - Medical Group
Practice location
- Address
- 4923 Stanton Ogletown Rd, Newark, DE 19713-2081
- Phone
- (215) 662-6200
- Fax
- (215) 662-2244
- Mailing address
- PO Box 824320, Philadelphia, PA 19182-4320
Authorised official
- Name
- Chante L Jackson
- Title
- Enrollment Coor
- Phone
- (215) 662-6187
Registered specialties (2)
Transplant Surgery Physician
Primary
Gastroenterology Physician
Registry record
- NPI
- 1720553001
- Entity type
- Organization
- NPI issued
- 12 Oct 2018
- 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.