Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRISTOS RISTAS (EXECUTIVE DIRECTORY)
(215) 955-9298
Entity
Organization
Contact information
Practice address
33 S 9TH ST, PHILADELPHIA, PA 19107-4408
(215) 955-8516
Mailing address
1101 MARKET ST FL 30, PHILADELPHIA, PA 19107-2934
(215) 955-1175
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/24/2010
Last updated
12/13/2020
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