Organization
METHODIST ASSOCIATES IN HEALTHCARE, INC.
Active
Other names
Jefferson Community Physicians-Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
HRISTAS RISTOS (VP OF CONTRACTING)
(215) 955-9298
Entity
Organization
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9936
(215) 952-1247
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
(215) 952-1247
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
PA
2084N0600X
Clinical Neurophysiology Physician
—
PA
Other
Enumeration date
03/15/2016
Last updated
10/14/2022
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