Organization

Jefferson University Physicians

May also be knows as Jup Ancillary Providers

Nurse Practitioner in Philadelphia, PA(View on Map)

Legal Business Name

Jefferson University Physicians

Also Known As

Jup Ancillary Providers

NPI Number

1437425360

NPI Type

Organization

Enumeration Date

03/26/2012

Specialties

(Taxonomies)

Code

363L00000X
133N00000X
363A00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

615 CHESTNUT ST
615 CHESTNUT ST

City

Philadelphia
Philadelphia

State

PA
PA

Postal Code

19106-4495
19106-4495

Country

US
US

Telephone Number

(215) 955-9655
(215) 955-9655

Authorized Official

Name

Mr. John Ogunkeye

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(215) 955-2562

Identifiers

Identifier

1007729870101

Identifier State

PA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/26/2012

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