Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
Family Medicine 833 Chestnut
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OGUNKEYE (EXECUTIVE DIRECTOR)
(215) 955-2562
Entity
Organization
Contact information
Practice address
833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
(215) 955-0800
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 955-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060238001
INDEPENDENCE BLUE CROSS
PA
01
—
148957
HIGHMARK BLUE SHIELD
PA
01
—
45730
KEYSTONE MERCY
PA
01
—
471560
AETNA
PA
05
—
7759908
—
NJ
Enumeration date
04/18/2008
Last updated
04/21/2026
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