Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
JUP Hospitalist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HRISTOS RISTAS (VP OF NETWORK OPERATIONS)
(215) 955-9298
Entity
Organization
Contact information
Practice address
33 S 9TH ST STE 701, PHILADELPHIA, PA 19107-4408
(215) 955-6180
Mailing address
1101 MARKET ST FL 30, PHILADELPHIA, PA 19107-2934
(215) 955-1175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007729870101
—
PA
Enumeration date
05/25/2011
Last updated
12/13/2020
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