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Organization

JEFFERSON UNIVERSITY PHYSCIANS

Active
Parent organization
JEFFERSON UNIVERSITY PHYSCIANS
Other names
Jefferson Primary Care at the Navy Yard
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEFFERSON UNIVERSITY PHYSCIANS
Authorized official
VALERIE YVETTE BRIGHT-BUTLER (ASSOC DIRECTOR OF ENROLLMENT)
(215) 955-9457
Entity
Organization

Contact information

Practice address
3 CRESCENT DR FL 2, PHILADELPHIA, PA 19112-1016
(215) 503-3210
(215) 503-7136
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
11/28/2018
Last updated
10/14/2022
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