Healthcare Provider Details

I. General information

NPI: 1750646709
Provider Name (Legal Business Name): TEMPLE PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2012
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 OLD YORK RD SUITE 100
ELKINS PARK PA
19027-1539
US

IV. Provider business mailing address

PO BOX 820933
PHILADELPHIA PA
19182-0933
US

V. Phone/Fax

Practice location:
  • Phone: 215-517-5822
  • Fax: 215-517-5829
Mailing address:
  • Phone: 215-926-9010
  • Fax: 215-226-8285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: LYNNIE SAVERING
Title or Position: DIRECTOR OF PATIENT ACCOUNTING
Credential:
Phone: 215-926-9015