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Organization

JEFFERSON UNIVERSITY PHYSICIANS

Active
Other names
Cardiology
Organization subpart
No

Provider details

NPI number
Authorized official
HRISTOS ROSTAS (EXECUTIVE DIRECTOR)
(215) 955-9298
Entity
Organization

Contact information

Practice address
1100 MARKET ST FL 30, PHILADELPHIA, PA 19107-3601
(215) 955-8420
Mailing address
833 CHESTNUT ST, SUITE 630, PHILADELPHIA, PA 19107-4414
(215) 955-0800

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0336179000
INDEPENDENCE BLUE CROSS
PA
01
0519838000
AMERIHEALTH
PA
01
1005220
KEYSTONE MERCY
PA
01
421108
HIGHMARK BLUE SHIELD
PA
01
487422
AETNA
PA
05
7429703
NJ
Enumeration date
04/18/2008
Last updated
02/23/2021
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