# JEFFERSON COMMUNITY PHYSICIANS

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

## Provider details

- **NPI number:** 1780476911
- **Authorized official:** RACHEL RENAE DANTIS (ENTERPRISE DIRECT PROVIDER ENROLL)
- **Authorized official phone:** (609) 238-7660

## Contact information

- **Practice address:** 2700 S EAGLE RD, NEWTOWN, PA 18940-1570
- **Practice address phone:** (844) 542-2273
- **Mailing address:** PO BOX 828937, PHILADELPHIA, PA 19182-8937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2025
- **Last updated:** 05/22/2025