Organization
THOMAS JEFFERSON UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PADGETT (CREDENTIALING MANAGER)
(215) 955-1175
Entity
Organization
Contact information
Practice address
909 WALNUT ST, 3RD FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST, 3RD FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
RN270455L
PA
Other
Enumeration date
07/22/2008
Last updated
06/13/2024
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