Jefferson University Physicians
NPI #1295011419 in Greenville, Delaware
Provider Information
- NPI Number
- 1295011419
- Entity Type
- Organization
- Organization Name
- Jefferson University Physicians
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 2, 2011
- Last Updated
- Jan 15, 2026
Practice Location
- Address
- 3706 KENNETT PIKE
- City
- Greenville
- State
- Delaware
- ZIP Code
- 19807-2157
- Phone
- (302) 477-1991
Authorized Official
- Name
- COLLEEN FUSETTI
- Title
- ASSOC. VP, HEALTH PLAN SERVICES
- Phone
- (215) 955-9298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
| Psychiatry & Neurology - Neurology — Neurology |
| Neurological Surgery |
| Dermatology |
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| MR. Jason Staback, PA-C |
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