# JEFFERSON UNIVERSITY HOSPITAL

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

## Provider details

- **NPI number:** 1205272804
- **Authorized official:** ANGELA CRUDELE M.D. (RESIDENT)
- **Authorized official phone:** (215) 955-8768

## Contact information

- **Practice address:** 1025 WALNUT ST, SUITE 801, PHILADELPHIA, PA 19107-5001
- **Practice address phone:** (215) 955-8768
- **Practice address fax:** (215) 955-3890
- **Mailing address:** 1025 WALNUT ST, SUITE 801, PHILADELPHIA, PA 19107-5001
- **Mailing address phone:** (215) 955-8768
- **Mailing address fax:** (215) 955-3890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 06/20/2013