NPI | 1912477324 |
---|---|
Doing Business As | JEFFERSON PRIMARY CARE AT THE NAVY YARD |
Entity Type | Organization |
Authorized Contact | VALERIE YVETTE BRIGHT-BUTLER Assoc Director Of Enrollment 215-955-9457 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-11-28 |
Last Update Date | 2022-10-14 |