Organization
JEFFERSON INTERNAL MEDICINE PC
Active
Organization
JEFFERSON INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S LILIENTHAL MD (PHYSICIAN PRESIDENT)
(412) 469-7744
Entity
Organization
Contact information
Practice address
575 COAL VALLEY ROAD, SUITE 374, CLAIRTON, PA 15025
(412) 469-7744
(412) 469-7745
Mailing address
575 COAL VALLEY ROAD, SUITE 374, CLAIRTON, PA 15025
(412) 469-7744
(412) 469-7745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039474E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001276327
—
PA
Enumeration date
07/18/2006
Last updated
11/04/2024
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