| Jefferson University Physicians | |
|
833 Chestnut St Suite 630 Philadelphia PA 19107-4414 | |
| (215) 955-0800 | |
| Not Available |
| Full Name | Jefferson University Physicians |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 833 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | John Ogunkeye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2159552562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson University Physicians 833 Chestnut St Suite 630 Philadelphia PA 19107-4414 Ph: (215) 955-0800 | Jefferson University Physicians 833 Chestnut St Suite 630 Philadelphia PA 19107-4414 Ph: (215) 955-0800 |
| NPI Number | 1568636710 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568636710 | NPI | - | NPPES |
| 0445008000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 959681 | Other | PA | HIGHMARK BLUE SHIELD |
| 7582102 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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