Organization
METHODIST ASSOCIATES IN HEALTHCARE, INC
Active
Other names
Jefferson Community Physicians - Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN FUSETTI (VP)
(215) 955-9298
Entity
Organization
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(251) 955-6000
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
02/03/2020
Last updated
09/21/2023
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