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 Spruce St 4 Penn Tower, Philadelphia PA 19104-4206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. University Of Penn-Medical Group can be contacted via phone (215) 662-2468, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3400 Spruce St 4 Penn Tower Philadelphia PA 19104-4206
Phone: (215) 662-2468
Fax: (215) 349-8529
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Pennsylvania
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X Pennsylvania

Profile Details

NPI number 1477658599
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 Sep 13th, 2006
Last updated Nov 19th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477658599 NPPES
Pennsylvania Other 496680 AETNA
Pennsylvania Other 0238576000 AETNA
Pennsylvania Other 30009058 AETNA
Pennsylvania MEDICAID 5507103 AETNA
Pennsylvania Other CA0235 AETNA
Pennsylvania Other 0002Y20116 AETNA
Pennsylvania Other 273544 AETNA
Pennsylvania Other 33631 AETNA
Pennsylvania MEDICAID 0006610360 AETNA
Pennsylvania Other 482524 AETNA

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