| NPI | 1558011338 |
|---|---|
| Doing Business As | JEFFERSON COMMUNITY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DAWN PADGETT Credentialing Manager 215-955-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-10-13 |