University Of Penn-Medical Group
Hospitalist in Philadelphia, PA. Organization (NPI-2).
NPI number1083002000
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1083002000
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Penn-Medical Group
- Organization subpart
- No
- Enumeration date
- Dec 29, 2014
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | PA | Yes |
| 207R00000X | Internal Medicine | – | PA |
Practice location
51 N 39th StPhiladelphia, PA 19104-2640
Phone 215-662-8000
Mailing address
51 N 39th StPhiladelphia, PA 19104-2640
Phone 215-662-8000
Authorized official
Stacy Greco
Payer Enrollment Manager
2233418516
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