| Jefferson Community Physicians - Endocrinology | |
|
2130 Spring Garden Street 1st Floor Philadelphia PA 19130-3502 | |
| (215) 955-9555 | |
| Not Available |
| Full Name | Jefferson Community Physicians - Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 2130 Spring Garden Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Hristos Ristas (VP) |
| Authorized Official Contact | 2159559298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Physicians - Endocrinology Po Box 828937 Philadelphia PA 19182-8937 Ph: (215) 503-1240 | Jefferson Community Physicians - Endocrinology 2130 Spring Garden Street 1st Floor Philadelphia PA 19130-3502 Ph: (215) 955-9555 |
| NPI Number | 1457862443 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457862443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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