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Contact Information

JEFFERSON UNIVERSITY PHYSICIANS
833 CHESTNUT ST
SUITE 630
PHILADELPHIA, PA19107-4414
 Phone: 215-955-0800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JEFFERSON UNIVERSITY PHYSICIANS

NPI # 1386818540
LBN Legal business name JEFFERSON UNIVERSITY PHYSICIANS
Authorized official JOHN OGUNKEYE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2008
Last updated 04/18/2008 - About 18 years ago
Identifiers
NJ Medicaid 7686005
PA Other 798858 AETNA
PA Other 265319 HIGHMARK BLUE SHIELD
PA Other 0542970000 INDEPENDENCE BLUE CROSS
PA Other 1153691 KEYSTONE MERCY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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