Individual
SHANAYE JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST FRNT 1, PHILADELPHIA, PA 19107-4420
(215) 955-6776
Mailing address
1114 SPRUCE STREET, 3R, PHILADELPHIA, PA 19107-1839
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
312554
NY
Other
Enumeration date
04/27/2017
Last updated
12/01/2021
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