# UNIVERSITY OF PENN-MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669860854
- **Authorized official:** ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (215) 662-7583

## Contact information

- **Practice address:** 801 SPRUCE ST, 8TH FLOOR, PHILADELPHIA, PA 19107-5701
- **Practice address phone:** (215) 829-2345
- **Mailing address:** 801 SPRUCE ST, 8TH FLOOR, PHILADELPHIA, PA 19107-5701
- **Mailing address phone:** (215) 829-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0006X | Ambulatory Fertility Facility | — | PA | Yes |

## Other

- **Enumeration date:** 12/23/2014
- **Last updated:** 12/23/2014