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Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Parent organization
JEFFERSON UNIVERSITY PHYSICIANS
Other names
Jefferson Allergy and Immunology
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON UNIVERSITY PHYSICIANS
Authorized official
HRISTOS RISTAS (VP OF CONTRACTING)
(215) 955-9298
Entity
Organization
Contact information
Practice address
1015 CHESTNUT ST STE 1300, PHILADELPHIA, PA 19107-4313
(215) 955-7410
(215) 923-8230
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
10/14/2022
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