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 is a Specialist 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

Other providers in Philadelphia