Organization
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA MARIE GUANCHE M.D. (RESIDENT)
(305) 333-0412
Entity
Organization
Contact information
Practice address
25 S 9TH ST, PHILADELPHIA, PA 19107-4408
(215) 955-6585
Mailing address
25 S 9TH ST, PHILADELPHIA, PA 19107-4408
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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