Organization
JEANES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY LEFTON (CFO)
(215) 728-3306
Entity
Organization
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 707-2532
Mailing address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 707-2532
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005061110006
—
PA
Enumeration date
01/10/2008
Last updated
09/15/2015
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