Organization
JEFFERSON HEALTH - NORTHEAST
Active
Other names
Aria Health Torresdale Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GALUP (PRESIDENT)
(215) 612-5038
Entity
Organization
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
(215) 710-3731
Mailing address
PO BOX 781001, PHILADELPHIA, PA 19178-1001
(215) 481-6873
(215) 481-3985
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
061801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001010000
PERSONAL CHOICE
PA
01
—
0073204903
AMERICHOICE
PA
05
—
1007705250011
—
PA
01
—
120373
AETNA HMO
PA
01
—
16465
HEALTH PARTNERS
PA
01
—
390115B
CCN
PA
01
—
4193300
MEDICAID OF NEW JERSEY
NJ
01
—
60086
KEYSTONE MERCY
PA
01
—
6490865
AETNA PPO
PA
Enumeration date
11/29/2006
Last updated
08/01/2023
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