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 Ground Floor Dulles, Philadelphia PA 19104-4238. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. University Of Penn-Medical Group can be contacted via phone (215) 662-3005, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3400 Spruce St Ground Floor Dulles Philadelphia PA 19104-4238
Phone: (215) 662-3005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X Pennsylvania
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Pennsylvania
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X Pennsylvania

Profile Details

NPI number 1558759571
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 29th, 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.

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