Jefferson University Radiology Associates
Radiology, Diagnostic Radiology in Philadelphia, PA. Organization (NPI-2).
NPI number1407019201
StatusActive
Last updated in NPPESOct 21, 2024
Details
- NPI
- 1407019201
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson University Radiology Associates
- Organization subpart
- No
- Enumeration date
- Jul 2, 2008
- Certification date
- Oct 21, 2024
- Last updated
- Oct 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
850 Walnut StPhiladelphia, PA 19107-5109
Phone 215-503-4900 · Fax 215-503-4920
Mailing address
800 Crescent Centre Dr Ste 400Franklin, TN 37067-7270
Phone 615-261-2306 · Fax 855-588-3545
Authorized official
Amy Stout
President/Ceo
6152612306
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