Organization
JEFFERSON FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA DIANE HOWARD (OWNER/PRESIDENT)
(214) 345-6789
Entity
Organization
Contact information
Practice address
211 SOUTH ST, PHILADELPHIA, PA 19147-2305
(214) 345-6789
Mailing address
211 SOUTH ST, PHILADELPHIA, PA 19147-2305
(214) 345-6789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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