OrganizationActive
University of Penn-Medical Group
NPI 1073902169 · Dermatopathology Physician · Philadelphia, PA
Provider details
- NPI number
- 1073902169
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacy Greco, Payer Enrollment Manager(223) 341-8516
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce St
2 Rhoads Pavilion
Philadelphia, PA 19104-4238
Phone: (215) 662-2737
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Registry dates
- Enumerated
- 2015-01-13
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.