JUSUFU SULAIMAN GOTTOR


Address: Broad and Vine Street, 11th Floor, Philadelphia, PA 19102
Phone: 2157627000

JUSUFU SULAIMAN GOTTOR (NPI# 1669772513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669772513
Entity Type Individual
Full Name JUSUFU SULAIMAN GOTTOR
Credential RN
Practice Address Broad and Vine Street
11th Floor
Philadelphia
PA 19102
Practice Telephone 2157627000
Mailing Telephone 2157627000
Enumeration Date 2010-10-26
Last Update Date 2010-10-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN566868 PA Nursing Service Providers

Office Location

Street Address BROAD AND VINE STREET
11TH FLOOR
City PHILADELPHIA
State PA
Zip Code 19102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063791416 Elizabeth Grugan Tucciarone Registered Nurse Broad and Vine Street, Philadelphia, PA 19102 2011-08-16

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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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