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Jefferson Headache Center
Clinic/Center in Philadelphia, Pennsylvania
NPI 1477727873

Jefferson Headache Center is a Clinic/Center based in Philadelphia, PA. Jefferson Headache Center practices in Philadelphia, PA. The NPI Number for Jefferson Headache Center is 1477727873 and holds a License No. SP006364C (Pennsylvania).

The current practice location address for Jefferson Headache Center is 111 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-955-2243 and via fax at 215-955-1960.

Location: 111 S 11Th St, Philadelphia, PA, 19107-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477727873
Provider Name
Jefferson Headache Center
Credential
Provider Entity Type
Organization
Address
111 S 11Th St, Philadelphia, PA, 19107-4824
Phone Number
215-955-2243
Fax Number
215-955-1960
Provider Enumeration Date
04/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-4824
Phone Number
215-955-2243
Fax Number
215-955-1960
person
Provider Business Mailing Address Details
Address
111 S 11Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-4824
Phone Number
215-955-2243
Fax Number
215-955-1960
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
SP006364C (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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