Healthcare Provider Details

I. General information

NPI: 1740729797
Provider Name (Legal Business Name): TEMPLE PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2017
Last Update Date: 03/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 ROOSEVELT BLVD SUITE 2A
PHILADELPHIA PA
19152-2034
US

IV. Provider business mailing address

2450 W HUNTING PARK AVE 2ND FLOOR TPI
PHILADELPHIA PA
19129-1302
US

V. Phone/Fax

Practice location:
  • Phone: 215-624-5800
  • Fax: 215-624-6260
Mailing address:
  • Phone: 215-926-9022
  • Fax: 215-226-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS008994L
License Number StatePA

VIII. Authorized Official

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