| NPI | 1922570498 |
|---|---|
| Doing Business As | JEFFERSON COMMUNITY PHYSICIANS - DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | VALERIE YVETTE BRIGHT-BUTLER Associate Director, Credentialing 215-955-9451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2022-10-13 |