University Of Penn-Medical Group

LBN: University Of Penn-Medical Group
University Of Penn-Medical Group is an health care organization with primary practice located at 3400 Civic Center Blvd West Pavilion, 3Rd Floor Suite 3-144W, Philadelphia PA 19104-5127. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. University Of Penn-Medical Group can be contacted via phone (215) 614-4100, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3400 Civic Center Blvd West Pavilion, 3Rd Floor Suite 3-144W Philadelphia PA 19104-5127
Phone: (215) 614-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Pennsylvania

Profile Details

NPI number 1316335425
LBN Legal business name University Of Penn-Medical Group
DBA Doing business as
Authorized official Jackson, Chante L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2014
Last updated Nov 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers