Organization
UNIVERSITY OF PENN-MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GRECO (PAYER ENROLLMENT MANAGER)
(223) 341-8516
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 2 RHOADS PAVILION, PHILADELPHIA, PA 19104-4238
(215) 662-2737
Mailing address
3400 SPRUCE ST, 2 RHOADS PAVILION, PHILADELPHIA, PA 19104-4238
(215) 662-2737
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
PA
Other
Enumeration date
01/13/2015
Last updated
07/31/2025
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