Jefferson University Physicians

Specialty details in registry · Philadelphia, PA

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At a glance

833 Chestnut St, Philadelphia, PA 19107-4414

NPPES record updated Jun 13, 2024. Public records can lag behind changes at a practice.

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Practice location

833 Chestnut St Suite 630
Philadelphia, PA 19107-4414

Professional details: NPI, taxonomy & registry record

NPI1033564315

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 204E00000X
Enumeration date: Apr 25, 2016
Record updated: Jun 13, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Dentist

122300000X

Specialty details in registry

1223S0112X

Specialty details in registry

204E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

833 Chestnut St
Suite 630
Philadelphia, PA 19107-4414

Phone: (215) 955-0800

Mailing address

PO BOX 828937

PHILADELPHIA, PA 191828937

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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