Jefferson University Physician in Philadelphia - Surgery
Jefferson University Physician - NPI 1861666174
Jefferson University Physician is a Surgery in Philadelphia, Pennsylvania. Jefferson University Physician practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jefferson University Physician is 1861666174. The last update date is 2008-04-28.
Jefferson University Physician's current location address is 833 Chestnut St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159550800. The mailing address for Jefferson University Physician is 833 Chestnut St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson University Physician |
|---|---|
| Address | 833 Chestnut St, Philadelphia, Pennsylvania |
| Phone Number | 2159550800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ogunkeye John |
| Telephone Number | 2159552562 |
NPI Number Detail
| NPI Number | 1861666174 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 833 Chestnut St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191074414 |
| Phone Number | 2159550800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7512007 | NJ | -- | |
| 1153258 | PA | KEYSTONE MERCY | |
| 7531303 | NJ | -- | |
| 7535805 | NJ | -- | |
| 1153629 | PA | KEYSTONE MERCY | |
| 2678933000 | PA | INDEPENDENCE BLUE CROSS | |
| 7531401 | NJ | -- | |
| 8455708 | NJ | -- | |
| 7551703 | NJ | -- | |
| 1153628 | PA | KEYSTONE MERCY |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jefferson University Physician?
The Jefferson University Physician has been issued the NPI (National Provider Identifier) 1861666174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Jefferson University Physician is physically located?
The Jefferson University Physician is physically situated at the following address: 833 Chestnut St, Philadelphia, PA, 191074414.
What is the Jefferson University Physician's specialty and taxonomy code?
The Jefferson University Physician's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When was the Jefferson University Physician's 1861666174 issued?
The Jefferson University Physician's 1861666174 was issued on 2008-04-17.
As of what date were the details related to Jefferson University Physician most recently updated or revised?
The information pertaining to Jefferson University Physician, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-28.
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