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1780072892
UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA
NPI
1780072892
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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
2014-12-26
Last Update Date
2020-11-20
Business Address
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CENTER BLVD 4TH FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104-5127
Phone number: 215-662-3580
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Mailing Address
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CENTER BLVD 4TH FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104-5127
Phone number: 215-662-3580
Copy
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