Healthcare Provider Details
I. General information
NPI: 1720130446
Provider Name (Legal Business Name): TEMPLE PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
133 W HUNTING PARK AVE SUITE 300-B
PHILADELPHIA PA
19140-2717
US
IV. Provider business mailing address
PO BOX 820933
PHILADELPHIA PA
19182-0933
US
V. Phone/Fax
- Phone: 215-324-0600
- Fax: 215-324-2795
- Phone: 215-926-9000
- Fax: 215-226-8285
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNNIE
SAVERING
Title or Position: DIRECTOR
Credential:
Phone: 215-926-9015