| NPI | 1710623855 |
|---|---|
| Doing Business As | JEFFERSON KIDNEY TRANSPLANT SPECIAL |
| Entity Type | Organization |
| Authorized Contact | DAWN PADGETT Credentialing Manager 215-955-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-06-13 |