Healthcare Provider Details

I. General information

NPI: 1598817074
Provider Name (Legal Business Name): TEMPLE PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7604 CENTRAL AVE SUITE 201
PHILADELPHIA PA
19111-2433
US

IV. Provider business mailing address

PO BOX 820933
PHILADELPHIA PA
19182-0933
US

V. Phone/Fax

Practice location:
  • Phone: 215-728-7594
  • Fax: 215-214-4197
Mailing address:
  • Phone: 215-926-9000
  • Fax: 215-226-8285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

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