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JEFFERSON UNIVERSITY PHYSICIANS NPI 1093989220


NPI Information

NPI: 1093989220
Provider Name: JEFFERSON UNIVERSITY PHYSICIANS

Other Name: INTERNAL MEDICINE- DR PARK

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
525 W CHESTER PIKE STE 102B
HAVERTOWN, PA
ZIP 19083
Phone: (610) 853-9328
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JEFFERSON UNIVERSITY PHYSICIANS is an internal medicine in Havertown, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JEFFERSON UNIVERSITY PHYSICIANS NPI is 1093989220. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Internal Medicine- Dr Park.

The provider's business location address is:

525 W CHESTER PIKE STE 102B
HAVERTOWN, PA
ZIP 19083-539
Phone: (610) 853-9328

The provider's authorized official is Hristos Ristas .
The authorized official title is Vp Provider Network Operations and has the following contact phone number (215) 955-9298.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 12/13/2020.


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
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13000370OTHERPENNSYLVANIAKEYSTONE MERCY
2595787OTHERPENNSYLVANIAAETNA
30307681005OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS

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: 11/14/2023

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