Organization
JEFFERSON COMMUNITY PHYSICIANS
Active
Organization
JEFFERSON COMMUNITY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL RENAE DANTIS (ENTERPRISE DIRECT PROVIDER ENROLL)
(609) 238-7660
Entity
Organization
Contact information
Practice address
225 E CITY LINE AVE, BALA CYNWYD, PA 19004-1704
(844) 542-2273
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
(215) 503-3319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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