Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
Jefferson OB/GYN Urogynecology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
HRISTOS RISTAS (VP OF CONTRACTING)
(215) 955-9298
Entity
Organization
Contact information
Practice address
33 S 9TH ST FL 1, PHILADELPHIA, PA 19107-4408
(215) 955-5000
(215) 923-6436
Mailing address
1101 MARKET ST FL 30, PHILADELPHIA, PA 19107-2934
(215) 955-1175
(215) 955-2420
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
12/13/2020
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