| Jefferson Gi | |
|
132 S 10th St 480 Main Building Phila PA 19107-5244 | |
| (215) 955-8900 | |
| (215) 955-5245 |
| Full Name | Jefferson Gi |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 132 S 10th St, Phila, Pennsylvania |
| Authorized Official Name and Position | Marian Lampman (BILLING MANAGER) |
| Authorized Official Contact | 2159553947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Gi 132 S 10th St 480 Main Building Phila PA 19107-5244 Ph: (215) 955-8900 | Jefferson Gi 132 S 10th St 480 Main Building Phila PA 19107-5244 Ph: (215) 955-8900 |
| NPI Number | 1205898723 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205898723 | NPI | - | NPPES |
| 1007729870101 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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