Organization
UNIVERSITY OF PENN-MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GRECO (SR. ENROLLMENT MANAGER)
(223) 341-8516
Entity
Organization
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2 WEST PAVILLION, PHILADELPHIA, PA 19104-4238
(215) 662-6200
Mailing address
3400 CIVIC CENTER BLVD, 2 WEST PAVILLION, PHILADELPHIA, PA 19104-4238
(215) 662-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
PA
Other
Enumeration date
12/29/2014
Last updated
11/19/2025
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