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Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OGUNKEYE (EXECUTIVE DIRECTOR)
(215) 955-2562
Entity
Organization
Contact information
Practice address
833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
(215) 955-0800
Mailing address
833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
(215) 955-0800
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0308957000
INDEPENDENCE BLUE CROSS
PA
01
—
0508554000
AMERIHEALTH
PA
01
—
1004652
KEYSTONE MERCY
PA
01
—
2687974
AETNA NJ
NJ
01
—
435680
HIGHMARK BLUE SHIELD
PA
01
—
460938
AETNA
PA
05
—
7428308
—
NJ
Enumeration date
04/18/2008
Last updated
04/24/2008
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