University Of Penn - Medical Group in Philadelphia - Clinical Genetics (m.d.)
University Of Penn - Medical Group - NPI 1912014614
University Of Penn - Medical Group is a Clinical Genetics (m.d.) in Philadelphia, Pennsylvania. University Of Penn - Medical Group practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for University Of Penn - Medical Group is 1912014614. The last update date is 2020-11-20.
University Of Penn - Medical Group's current location address is 3400 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156624740. The mailing address for University Of Penn - Medical Group is 3400 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Of Penn - Medical Group |
|---|---|
| Address | 3400 Spruce St, Philadelphia, Pennsylvania |
| Phone Number | 2156624740 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ENROLLMENT |
|---|---|
| Authorized Official Name | Jackson L Chante |
| Telephone Number | 2156626187 |
NPI Number Detail
| NPI Number | 1912014614 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2020-11-20 |
Provider Mailing Address Detail
| Address | 3400 Spruce St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191044206 |
| Phone Number | 2156624740 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Genetics (m.d.) |
|---|---|
| Taxonomy | 207Sg0201X |
|
Definition: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53945000 | PA | KEYSTONE | |
| 1061396 | PA | MERCY | |
| CA0235 | PA | RR MEDICARE | |
| 0002Y20116 | PA | HEALTHNET | |
| 147249 | PA | BLUE SHIELD | |
| 980167 | PA | AETNA | |
| 26256 | PA | HEALTHPARTNERS | |
| 273231 | PA | MAMSI | |
| 6610360 | PA | -- | |
| 7768508 | NJ | NJ-MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to University Of Penn - Medical Group by the Centers for Medicare & Medicaid Services?
The University Of Penn - Medical Group has been assigned the NPI (National Provider Identifier) 1912014614 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of University Of Penn - Medical Group?
The University Of Penn - Medical Group is situated at 3400 Spruce St, in the city of Philadelphia, state of PA, with the zip code 191044206.
What is the University Of Penn - Medical Group's specialty and taxonomy code?
The University Of Penn - Medical Group's specialty is Clinical Genetics (m.d.), and the corresponding taxonomy code is 207Sg0201X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912014614 to University Of Penn - Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1912014614 to University Of Penn - Medical Group on 2006-08-25.
As of what date were the details pertaining to University Of Penn - Medical Group last refreshed?
The information related to the University Of Penn - Medical Group, including its address, specialty, and other relevant details, was last updated on 2020-11-20.