| NPI | 1952860975 |
|---|---|
| Doing Business As | JEFFERSON ALLERGY AND IMMUNOLOGY |
| Entity Type | Organization |
| Authorized Contact | HRISTOS RISTAS VP Of Contracting 215-955-9298 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2022-10-14 |