| NPI | 1053930974 |
|---|---|
| Doing Business As | JEFFERSON COMMUNITY PHYSICIANS - OTOLARYNGOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAWN PADGETT Credentialing Supervisor 215-955-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2022-10-13 |