Thomas Jefferson University Hospital
NPI #1033520424 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1033520424
- Entity Type
- Organization
- Organization Name
- Thomas Jefferson University Hospital
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 19, 2014
- Last Updated
- May 19, 2014
Practice Location
- Address
- 909 WALNUT ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19107-5211
- Phone
- (215) 955-6215
Authorized Official
- Name
- DR. ROBERT DIECIDUE, D.M.D., MD
- Title
- CHAIR OF THE DEPT. OF ORAL SURGEON
- Phone
- (215) 955-6215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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