Organization
JEFFERSON COMMUNITY PHYSICIANS
Active
Other names
Jefferson Community Physicians Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE YVETTE BRIGHT-BUTLER (DIRECTOR OF PROVIDER ENROLLMENT)
(215) 955-9451
Entity
Organization
Contact information
Practice address
601 WALNUT ST, SUITE L50, PHILADELPHIA, PA 19106-3305
(215) 409-9300
Mailing address
1101 MARKET ST FL 19, PHILADELPHIA, PA 19107-2926
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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