Organization
JEFFERSON HEALTH - NORTHEAST
Active
Other names
Aria Health Frankford Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GALUP (PRESIDENT)
(215) 612-5038
Entity
Organization
Contact information
Practice address
4900 FRANKFORD AVE, PHILADELPHIA, PA 19124-2618
(215) 831-2000
(215) 807-8217
Mailing address
PO BOX 781001, PHILADELPHIA, PA 19178-1001
(215) 481-6873
(215) 481-3985
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
061801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001010000
PERSONAL CHOICE
PA
01
—
00019
HEALTH PARTNERS
PA
01
—
0073204902
AMERICHOICE
PA
05
—
1007705250010
—
PA
01
—
120374
AETNA HMO
PA
01
—
4193300
MEDICAID OF NEW JERSEY
NJ
01
—
60052
KEYSTONE MERCY
PA
01
—
6490865
AETNA PPO
PA
Enumeration date
12/01/2006
Last updated
08/01/2023
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