Organization
UNIVERSITY OF PENN - MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GRECO (MANAGER- PAYOR ENROLLMENT)
(223) 341-8516
Entity
Organization
Contact information
Practice address
595 W STATE ST STE 207, DOYLESTOWN, PA 18901-2554
(215) 345-2100
Mailing address
595 W STATE ST STE 207, DOYLESTOWN, PA 18901-2554
(215) 345-2100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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