Organization
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL LUBARSKY (SENIOR VICE PRESIDENT)
(215) 955-9895
Entity
Organization
Contact information
Practice address
111 S 11TH ST, 2210 GIBBON BUILDING, PHILADELPHIA, PA 19107-4824
(215) 955-7106
(215) 955-8732
Mailing address
PO BOX 85009895, PHILADELPHIA, PA 19178-0001
(215) 955-7106
(215) 955-8732
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
200801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007571300057
—
PA
Enumeration date
12/04/2006
Last updated
08/22/2020
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