NPI | 1053930974 |
---|---|
Doing Business As | JEFFERSON COMMUNITY PHYSICIANS - OTOLARYNGOLOGY |
Entity Type | Organization |
Authorized Contact | DAWN PADGETT Credentialing Manager 215-955-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-06-13 |