| NPI | 1306333695 |
|---|---|
| Doing Business As | JEFFERSON OB/GYN UROGYNECOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | HRISTOS RISTAS VP Of Contracting 215-955-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-12-13 |