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Organization

JEFFERSON UNIVERSITY PHYSICIANS

Active
Other names
Hematology
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN OGUNKEYE (EXECUTIVE DIRECTOR)
(215) 955-2562
Entity
Organization

Contact information

Practice address
833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
(215) 955-0800
Mailing address
833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
(215) 955-0800

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0234786000
INDEPENDENCE BLUE CROSS
PA
01
031836
AETNA
PA
01
1009058
KEYSTONE MERCY
PA
01
439075
HIGHMARK BLUE SHIELD
PA
05
7694504
NJ
Enumeration date
04/18/2008
Last updated
04/24/2008
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