1366498479 NPI number — THE PHILIP JAISOHN MEMORIAL FOUNDATION, INC

Table of content: (NPI 1366498479)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366498479 NPI number — THE PHILIP JAISOHN MEMORIAL FOUNDATION, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE PHILIP JAISOHN MEMORIAL FOUNDATION, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366498479
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6705 OLD YORK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19126-2841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-224-2000
Provider Business Mailing Address Fax Number:
215-224-8651

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6705 OLD YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19126-2841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-224-2000
Provider Business Practice Location Address Fax Number:
215-224-8651
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CHOE
Authorized Official First Name:
GEORGE JUNG
Authorized Official Middle Name:
SOO
Authorized Official Title or Position:
CHAIRMAN
Authorized Official Telephone Number:
215-224-2000

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0007340700003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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