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	:	1245892314
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	:

Provider Business Practice Location Address
First Line	:	1820 BETHLEHEM PIKE
Second Line	:
City	:	FLOURTOWN
State	:	PA
Zip	:	19031-1504
Country	:	US
Telephone Number	:	215-836-1354
Fax Number	:	215-836-2605

Authorized Official
Title or Position	:	PHYSICIAN / OWNER
Name	:	JUDD HOLLANDER
Credential	:	MD
Telephone Number	:	215-481-2173

Provider Enumeration Date	:	06/28/2019
Last Update Date	:	10/14/2022

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