University Of Penn - Medical Group in Philadelphia - Nuclear Cardiology
University Of Penn - Medical Group - NPI 1093725145
University Of Penn - Medical Group is a Nuclear Cardiology in Philadelphia, Pennsylvania. University Of Penn - Medical Group practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for University Of Penn - Medical Group is 1093725145. The last update date is 2020-11-19.
University Of Penn - Medical Group's current location address is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156154949. The mailing address for University Of Penn - Medical Group is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Of Penn - Medical Group |
|---|---|
| Address | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2156154949 |
| 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 | 1093725145 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2020-11-19 |
Provider Mailing Address Detail
| Address | 3400 Civic Center Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191045127 |
| Phone Number | 2156154949 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58354 | PA | BLUE SHIELD | |
| 6610360 | PA | -- | |
| 10670 | PA | HEALTHPARTNERS | |
| 273543 | PA | MAMSI | |
| CA0235 | PA | RR MEDICARE | |
| 1003417 | PA | KEYSTONE MERCY | |
| 496667 | PA | AETNA | |
| 0002Y20116 | PA | HEATHNET | |
| 27133400001 | PA | KEYSTONE | |
| 5541301 | NJ | NJ MEDICAID |
Post Comment/ Review Below
What is the unique 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) 1093725145. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of University Of Penn - Medical Group?
The University Of Penn - Medical Group is situated at 3400 Civic Center Blvd, in the city of Philadelphia, state of PA, with the zip code 191045127.
What is University Of Penn - Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The University Of Penn - Medical Group's area of specialization is Nuclear Cardiology, and the corresponding taxonomy code that categorizes this field of practice is 207Un0901X.
When was the University Of Penn - Medical Group's 1093725145 issued?
The University Of Penn - Medical Group's 1093725145 was issued on 2006-08-09.
When was the information pertaining to University Of Penn - Medical Group most recently updated or revised?
The details related to University Of Penn - Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-19.