University Of Penn-Medical Group
Emergency Medicine, Undersea and Hyperbaric Medicine in Philadelphia, PA. Organization (NPI-2).
NPI number1437547544
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1437547544
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of Penn-Medical Group
- Organization subpart
- No
- Enumeration date
- Dec 26, 2014
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0005X | Emergency Medicine, Undersea and Hyperbaric Medicine | – | PA | Yes |
| 207PH0002X | Emergency Medicine, Hospice and Palliative Medicine | – | PA | |
| 2083P0011X | Preventive Medicine, Undersea and Hyperbaric Medicine | – | PA |
Practice location
3620 Hamilton Walk1 John Morgan Bldg
Philadelphia, PA 19104-4799
Phone 215-898-9095
Mailing address
3620 Hamilton Walk1 John Morgan Bldg
Philadelphia, PA 19104-4799
Phone 215-898-9095
Authorized official
Chante L Jackson
Enrollment Lead
2156626187
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