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Organization
JEFFERSON UNIVERSITY PHYSCIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSCIANS
Active
Parent organization
JEFFERSON UNIVERSITY PHYSCIANS
Other names
Jefferson Observation Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON UNIVERSITY PHYSCIANS
Authorized official
VALERIE YVETTE BRIGHT-BUTLER (ASSOCIATE DIRECTOR, CREDENTIALING)
(215) 955-9451
Entity
Organization
Contact information
Practice address
1020 SANSOM ST FL 10, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/21/2018
Last updated
10/14/2022
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