OrganizationActive
University of Penn-Medical Group
NPI 1285022202 · Sports Medicine (Internal Medicine) Physician · Philadelphia, PA
Provider details
- NPI number
- 1285022202
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chante Jackson, Emrollment Lead(215) 662-6187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3737 Market St
9th Floor
Philadelphia, PA 19104-5545
Phone: (215) 662-8777
Approximate (ZIP-level) locationGet directions
Mailing address
3737 Market St
Philadelphia, PA 19104-5545
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.