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Contact Information

JEFFERSON INTERNAL MEDICINE PC
575 COAL VALLEY ROAD
SUITE 374
CLAIRTON, PA15025
 Phone: 412-469-7744
 Fax: 412-469-7745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFERSON INTERNAL MEDICINE PC

NPI # 1700804572
LBN Legal business name JEFFERSON INTERNAL MEDICINE PC
Authorized official DAVID LILIENTHAL - (PHYSICIAN PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 11/04/2024 - More than a year ago
Identifiers
PA License # MD039474E
PA Medicaid 001276327
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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