NPI | 1649825795 |
---|---|
Doing Business As | JEFFERSON COMMUNITY PHYSICIANS - GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | DAWN PADGETT Credentialing Supervisor 215-955-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2019-08-06 |
Last Update Date | 2022-10-13 |