NPI | 1043019433 |
---|---|
Other Name | JEFFERSON PRIMARY CARE-TORRESDALE |
Entity Type | Organization |
Authorized Contact | RACHEL DANTIS Credentialing Manager 609-238-7660 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |