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1992301196
UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA
NPI
1992301196
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Entity Type
Organization
Authorized Contact
CHANTE L JACKSON
Enrollment Lead
215-662-6187
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
Enumeration Date
2020-12-11
Last Update Date
2020-12-21
Business Address
UNIVERSITY OF PENN-MEDICAL GROUP
501 S 54TH ST
PHILADELPHIA, PA 19143-1900
Phone number: 215-748-9707
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Mailing Address
UNIVERSITY OF PENN-MEDICAL GROUP
PO BOX 824320
PHILADELPHIA, PA 19182-4320
Phone number: 215-762-0810
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