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 3737 Market St 3Rd Floor, Philadelphia PA 19104-5545. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty. University Of Penn - Medical Group can be contacted via phone (215) 662-2775, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3737 Market St 3Rd Floor Philadelphia PA 19104-5545
Phone: (215) 662-2775
Fax: (215) 615-5055
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X Pennsylvania
Allopathic & Osteopathic Physicians / Allergy 207KA0200X Pennsylvania

Profile Details

NPI number 1659488351
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 Aug 25th, 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 1659488351 NPPES
Pennsylvania Other 496665 AETNA
Pennsylvania Other 043057 AETNA
Pennsylvania Other 5464404 AETNA
Pennsylvania Other CA0235 AETNA
Pennsylvania Other 273538 AETNA
Pennsylvania Other 145644000 AETNA
Pennsylvania MEDICAID 0006610360 AETNA
Pennsylvania Other G00108940 AETNA
Pennsylvania Other 0002Y20116 AETNA
Pennsylvania Other 1008657 AETNA
Pennsylvania Other 06631 AETNA

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