Healthcare Provider Details

I. General information

NPI: 1780604199
Provider Name (Legal Business Name): TEMPLE EAST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 E ALLEGHENY AVE
PHILADELPHIA PA
19134-4427
US

IV. Provider business mailing address

2301 E ALLEGHENY AVE
PHILADELPHIA PA
19134-4427
US

V. Phone/Fax

Practice location:
  • Phone: 215-291-3000
  • Fax: 215-291-3418
Mailing address:
  • Phone: 215-291-3000
  • Fax: 215-291-3418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StatePA

VIII. Authorized Official

Name: MR. JOHN BUCKLEY
Title or Position: CEO
Credential:
Phone: 215-291-3401