Healthcare Provider Details
I. General information
NPI: 1649518085
Provider Name (Legal Business Name): TEMPLE PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/18/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
261 OLD YORK RD SUITE 214
JENKINTOWN PA
19046-3706
US
IV. Provider business mailing address
261 OLD YORK RD SUITE 724
JENKINTOWN PA
19046-3706
US
V. Phone/Fax
- Phone: 215-885-4700
- Fax: 215-885-6861
- Phone: 215-671-4280
- Fax: 215-464-9034
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: MS.
LYNNIE
SAVERING
Title or Position: DIRECTOR
Credential:
Phone: 215-926-9015