MEDICARE: JEFFERSON ACUTE CARE PHYSICIANS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1922488790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFERSON ACUTE CARE PHYSICIANS, PC

Provider Business Mailing Address
First Line	:	PO BOX 828937
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-8937
Country	:	US
Telephone Number	:	215-503-1240
Fax Number	:	215-503-5666

Provider Business Practice Location Address
First Line	:	700 WALNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3505
Country	:	US
Telephone Number	:	215-503-7300
Fax Number	:	215-503-5666

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JUDD E. HOLLANDER
Credential	:	MD
Telephone Number	:	215-333-0304

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	10/14/2022

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