Organization
METHODIST ASSOCIATES IN HEALTH CARE, INC
Active
Other names
Jefferson Community Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PADGETT (CREDENTIALING MANAGER)
(215) 955-1175
Entity
Organization
Contact information
Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3406
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
10/13/2022
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