Provider Demographics
NPI:1316390024
Name:THOMAS JEFFERSON UNIVERSITY
Entity Type:Organization
Organization Name:THOMAS JEFFERSON UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR, DEPARTMENT OF ANESTHESIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:ZVI
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUNWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-955-6161
Mailing Address - Street 1:900 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5509
Mailing Address - Country:US
Mailing Address - Phone:215-503-1000
Mailing Address - Fax:
Practice Address - Street 1:900 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5509
Practice Address - Country:US
Practice Address - Phone:215-503-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN573428284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital