Organization · Type 2 NPI

Jefferson Community Physicians

Vascular Surgery Physician · Abington, PA

NPI number 1043031602 Active

Practice location

1200 Old York Rd Fl Buerger
Abington, PA 19001-3720

Call (215) 887-5934 Map

Fax (215) 481-3481

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

NPI record

NPI: 1043031602
Entity type: Organization (Type 2)
Issued: Oct 17, 2024
Last updated: Nov 5, 2025
Status: Active

Other names

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Jefferson Vascular Surgery @ Abington · other name
Jefferson Vascular Surgery @ Abington · other name

Authorized official

Rachel Dantis
Credentialing Manager
(609) 238-7660

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About NPI 1043031602

Jefferson Community Physicians's National Provider Identifier is 1043031602, issued on Oct 17, 2024. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Abington, PA. The record was last updated on Nov 5, 2025.