Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Jefferson University

Organization Specialist · NPI 1124195854

Thomas Jefferson University provides Specialist services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

111 S 11th St Ste 4240
Philadelphia, PA 19107-4824
Phone: (215) 955-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD053709L (PA)

Record details

NPI number1124195854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Beal — Director · (215) 503-1295
NPI enumeratedNovember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address125 S 9th St, Suite 801, Philadelphia, PA 19107-5125

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