NPI 1912014614

University of Penn - Medical Group

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

Practice location

Address: 3400 Spruce St One Maloney, Philadelphia, PA 19104-4206
Phone: (215) 662-4740

Authorised official

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

Registered specialties (3)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Pennsylvania →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Pennsylvania →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Pennsylvania →

Registry record

NPI: 1912014614
Entity type: Organization
NPI issued: 25 Aug 2006
Record last updated: 20 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.