Organization · Type 2 NPI

University of Penn-Medical Group

Vascular Surgery Physician · Philadelphia, PA

NPI number 1629466644 Active

Practice location

3400 Civic Center Blvd, 2 East Pavillion
Philadelphia, PA 19104-5127

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XNone listed
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1629466644

University of Penn-Medical Group's National Provider Identifier is 1629466644, issued on Dec 29, 2014. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 19, 2020.