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JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC NPI 1992307979


NPI Information

NPI: 1992307979
Provider Name: JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
10160 BUSTLETON AVE STE E
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 503-4900
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JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC is a diagnostic radiology radiology in Philadelphia, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC NPI is 1992307979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10160 BUSTLETON AVE STE E
PHILADELPHIA, PA
ZIP 19116-749
Phone: (215) 503-4900
Fax: (215) 503-4921

The provider's authorized official is William Cannon King .
The authorized official title is Ceo and has the following contact phone number (615) 846-7733.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 11/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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