# JEFFERSON UNIVERSITY PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFERSON UNIVERSITY PHYSICIANS
- **Other names:** Jefferson Allergy and Immunology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952860975
- **Legal business name:** JEFFERSON UNIVERSITY PHYSICIANS
- **Authorized official:** HRISTOS RISTAS (VP OF CONTRACTING)
- **Authorized official phone:** (215) 955-9298

## Contact information

- **Practice address:** 1015 CHESTNUT ST STE 1300, PHILADELPHIA, PA 19107-4313
- **Practice address phone:** (215) 955-7410
- **Practice address fax:** (215) 923-8230
- **Mailing address:** PO BOX 828937, PHILADELPHIA, PA 19182-8937
- **Mailing address phone:** (215) 503-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2019
- **Last updated:** 10/14/2022