Organization
THOMAS JEFFERSON UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSAM A YACOUB DO (FELLOW)
(610) 597-6873
Entity
Organization
Contact information
Practice address
3801 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5530
(610) 597-6873
Mailing address
3801 CONSHOHOCKEN AVE, APT 801, PHILADELPHIA, PA 19131-5530
(610) 597-6873
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
OS015126
PA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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