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NPI Code Detail

MEDICARE: TEMPLE HEALTH SERVICES, LLC

MEDICARE: TEMPLE HEALTH SERVICES, LLC
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
1208100000XPhysical Medicine & Rehabilitation Physician
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1831241926
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMPLE HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 230 GEORGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3224
Country : US
Telephone Number : 203-498-5980
Fax Number : 203-498-5999
Provider Business Practice Location Address
First Line : 230 GEORGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3224
Country : US
Telephone Number : 203-498-5980
Fax Number : 203-498-5999
Authorized Official
Title or Position : CEO
Name : GLENN ELIA
Credential :
Telephone Number : 203-407-3576
Provider Enumeration Date : 01/17/2007
Last Update Date : 08/01/2017

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