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 CIVIC CENTER BLVD, 2ND FLOOR SOUTH PAVILLION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR SOUTH PAVILLION, PHILADELPHIA, PA 19104-5127
(215) 662-3606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
PA
Other
Enumeration date
12/26/2014
Last updated
07/31/2025
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