# JEFFERSON UNIVERSITY PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720252968
- **Authorized official:** DAWN PADGETT (CREDENTIALING MANAGER)
- **Authorized official phone:** (215) 955-1175

## Contact information

- **Practice address:** 33 S. 9TH ST STE 630, SUITE 630, PHILADELPHIA, PA 19107-4414
- **Practice address phone:** (215) 955-0800
- **Mailing address:** 833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
- **Mailing address phone:** (215) 955-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 06/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0207799000 | INDEPENDENCE BLUE CROSS | PA |
| 01 | — | 1005365 | KEYSTONE MERCY | PA |
| 01 | — | 435738 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 482393 | AETNA | PA |
| 05 | — | 7638809 | — | NJ |