Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
Jefferson University Physicians - Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PADGETT (CREDENTIALING SUPERVISOR)
(215) 955-1175
Entity
Organization
Contact information
Practice address
840 WALNUT ST FL 15, PHILADELPHIA, PA 19107-5109
(215) 625-6630
(215) 625-6640
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
10/14/2022
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