Jefferson Medical Care, Pc in Philadelphia - Addiction Medicine
Jefferson Medical Care, Pc - NPI 1164511747
Jefferson Medical Care, Pc is a Addiction Medicine in Philadelphia, Pennsylvania. Jefferson Medical Care, Pc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jefferson Medical Care, Pc is 1164511747. The last update date is 2022-10-14.
Jefferson Medical Care, Pc's current location address is 211 S 9th St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159559558 and fax number 2159553920. The mailing address for Jefferson Medical Care, Pc is 211 S 9th St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Medical Care, Pc |
|---|---|
| Address | 211 S 9th St, Philadelphia, Pennsylvania |
| Phone Number | 2159559558 |
| Fax Number | 2159553920 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Ristas Hristos |
| Telephone Number | 2159559298 |
NPI Number Detail
| NPI Number | 1164511747 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2022-10-14 |
Provider Mailing Address Detail
| Address | 211 S 9th St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191076810 |
| Phone Number | 2159559558 |
| Fax Number | 2159553920 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16886700001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jefferson Medical Care, Pc by the Centers for Medicare & Medicaid Services?
The Jefferson Medical Care, Pc has been issued the NPI (National Provider Identifier) 1164511747, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jefferson Medical Care, Pc?
The Jefferson Medical Care, Pc is situated at 211 S 9Th St, in the city of Philadelphia, state of PA, with the zip code 191076810.
What is Jefferson Medical Care, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jefferson Medical Care, Pc is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0401X.
On what date did the Jefferson Medical Care, Pc receive the assignment of its 1164511747 from the Centers for Medicare & Medicaid Services?
The Jefferson Medical Care, Pc was issued its 1164511747 by the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date were the details related to Jefferson Medical Care, Pc most recently updated or revised?
The information pertaining to Jefferson Medical Care, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-14.