| Thomas Jefferson University Hospital | |
|
909 Walnut St Philadelphia PA 19107-5211 | |
| (215) 955-6215 | |
| Not Available |
| Full Name | Thomas Jefferson University Hospital |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 909 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Robert Diecidue (CHAIR OF THE DEPT. OF ORAL SURGEON) |
| Authorized Official Contact | 2159556215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jefferson University Hospital 5 Stratford Dr Randolph NJ 07869-2036 Ph: () - | Thomas Jefferson University Hospital 909 Walnut St Philadelphia PA 19107-5211 Ph: (215) 955-6215 |
| NPI Number | 1033520424 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033520424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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