JESSICA BLAIR DIJULIO


Address: 833 Chestnut St, Philadelphia, PA 19107-4414
Phone: 4849514055

JESSICA BLAIR DIJULIO (NPI# 1578046603) 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) 1578046603
Entity Type Individual
Full Name JESSICA BLAIR DIJULIO
Credential MA, MMS, PA-C
Practice Address 833 Chestnut St
Philadelphia
PA 19107-4414
Mailing Address 833 Chestnut St Ste 740
Philadelphia
PA 19107-4409
Practice Telephone 4849514055
Mailing Telephone 2159556680
Enumeration Date 2018-09-14
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MA060109 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA STATE BOARD OF OSTEOPATHIC MEDICINE LICENSE OA004607 01
PA STATE BOARD OF MEDICINE LICENSE MA060109 01

Office Location

Street Address 833 CHESTNUT ST
City PHILADELPHIA
State PA
Zip Code 19107-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053310821 Akhil K Das Urology 833 Chestnut St, Suite 703, Philadelphia, PA 19107-4414 2005-07-14
1285263228 Melissa Lily Chiu Physical Therapist 833 Chestnut St, Philadelphia, PA 19107-4414 2020-04-02
1639707995 Hannah Nelkin Facey Student in an Organized Health Care Education/Training Program 833 Chestnut St, Philadelphia, PA 19107-4414 2020-03-31
1043846991 David C Peters Student in an Organized Health Care Education/Training Program 833 Chestnut St, Philadelphia, PA 19107-4414 2020-03-22
1598320699 Danielle Gould Tsevat Student in an Organized Health Care Education/Training Program 833 Chestnut St, Philadelphia, PA 19107-4414 2019-05-03
1467015024 Victoria Adedoja Adewale Obstetrics & Gynecology 833 Chestnut St, Philadelphia, PA 19107-4414 2019-04-19
1447712484 Michael Bozzi Student in an Organized Health Care Education/Training Program 833 Chestnut St, Philadelphia, PA 19107-4414 2019-04-01
1063990802 Lisa Marie Burkholder Social Worker 833 Chestnut St, Philadelphia, PA 19107-4414 2018-08-03
1255829123 Olivia Marie Seecof Student in an Organized Health Care Education/Training Program 833 Chestnut St, Philadelphia, PA 19107-4414 2018-04-26
1790289775 Jenani Sarah Jayakumaran Obstetrics & Gynecology 833 Chestnut St, Philadelphia, PA 19107-4414 2018-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932740461 Mark Abdelmalek, Md LLC Dermatology 200 N 16th St Ste D, Philadelphia, PA 19102-1225 2019-10-07
1083061048 Brandon Rowe Dermatology 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 2016-05-19
1942647078 Jason Marc Schoenfeld Dermatology 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 2013-05-30
1588890669 Philippe Lafaille Dermatology 1200 Locust Street, Philadelphia, PA 19107 2009-06-03
1194950683 Jisun Cha Dermatology 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 2009-05-27
1962546952 Susan C. Taylor Dermatology 932 Pine St, Philadelphia, PA 19107-6128 2007-02-16
1194833590 Harold Farber Dermatology 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 2006-08-26
1770599839 Seana Patrice Covello Dermatology 621 Pine St, Philadelphia, PA 19106-4108 2006-07-31
1528080512 Kenneth E Wasserman Md PC Dermatology 1817 South Broad St, Philadelphia, PA 19148-2115 2006-07-25
1811947351 James R Treat Dermatology 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 2006-05-12
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City PHILADELPHIA
Zip Code 19107

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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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