Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BRIGHT-BUTLER (ASSOCIATE DIRECTOR)
(215) 955-9457
Entity
Organization
Contact information
Practice address
111 S 11TH ST STE G3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0562328000
INDEPENDENCE BLUE CROSS
PA
01
—
2542
AETNA
PA
01
—
33134
KEYSTONE MERCY
PA
01
—
656588
HIGHMARK BLUE SHIELD
PA
05
—
7539002
—
NJ
Enumeration date
04/18/2008
Last updated
10/14/2022
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