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1255729364
UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA
NPI
1255729364
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Entity Type
Organization
Authorized Contact
CHANTE L JACKSON
Enrollment Lead
215-662-6187
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2014-12-26
Last Update Date
2020-11-19
Business Address
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST 19 PENN TOWER
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-3285
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Mailing Address
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST 19 PENN TOWER
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-3285
Copy
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