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1548658560
UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA
NPI
1548658560
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Entity Type
Organization
Authorized Contact
CHANTE L JACKSON
Enrollment Lead
215-662-6187
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2014-12-29
Last Update Date
2020-11-19
Business Address
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CENTER BLVD 2 WEST PAVILLION
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-6200
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Mailing Address
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CENTER BLVD 2 WEST PAVILLION
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-6200
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