Healthcare Provider Details

I. General information

NPI: 1720130990
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: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E ALLEGHENY AVE SUITE 180
PHILADELPHIA PA
19134-4427
US

IV. Provider business mailing address

2301 E ALLEGHENY AVE SUITE 180
PHILADELPHIA PA
19134-4427
US

V. Phone/Fax

Practice location:
  • Phone: 215-926-3700
  • Fax: 215-926-3703
Mailing address:
  • Phone: 215-926-3700
  • Fax: 215-926-3703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number State
# 4
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