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Organization
JEFFERSON UNIVERSITY PHYSCIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSCIANS
Active
Parent organization
JEFFERSON UNIVERSITY PHYSCIANS
Other names
Jefferson Primary Care at the Navy Yard
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON UNIVERSITY PHYSCIANS
Authorized official
VALERIE YVETTE BRIGHT-BUTLER (ASSOC DIRECTOR OF ENROLLMENT)
(215) 955-9457
Entity
Organization
Contact information
Practice address
3 CRESCENT DR FL 2, PHILADELPHIA, PA 19112-1016
(215) 503-3210
(215) 503-7136
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/28/2018
Last updated
10/14/2022
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