Healthcare Provider Details
I. General information
NPI: 1518755222
Provider Name (Legal Business Name): TEMPLE HEALTH PHYSICIANS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
502 CENTENNIAL BLVD
VOORHEES NJ
08043-9544
US
IV. Provider business mailing address
3500 N BROAD ST
PHILADELPHIA PA
19140-4106
US
V. Phone/Fax
- Phone: 855-827-1695
- Fax: 215-728-2773
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0122X |
| Taxonomy | Plastic and Reconstructive Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TONYA
WOODARD
Title or Position: DIRECTOR PAYER CREDENTIALING
Credential:
Phone: 215-707-3911