Organization
THOMAS JEFFERSON UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CALVANO BA (BUSINESS MANAGER)
(215) 955-1952
Entity
Organization
Contact information
Practice address
1239 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3206
(215) 763-1020
(215) 763-4640
Mailing address
1233 LOCUST ST STE 401, PHILADELPHIA, PA 19107-5459
(215) 955-1952
(215) 568-6414
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
800000127
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007571300097
—
PA
Enumeration date
03/28/2007
Last updated
10/17/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us