MEDICARE: TEMPLE PHYSICIANS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12256	OTHER	PA	HEALTH PARTNERS SITE #
2	15402	OTHER	PA	ELDER HEALTH
3	CD4829	OTHER	PA	RRM
4	30000610	OTHER	PA	KEYSTONE MERCY
5	0091337	OTHER	PA	AETNA HMO
6	0756985071	OTHER	PA	IBC (KHPE & PC)
7	1961937	OTHER	PA	HIGHMARK
8	0098703	OTHER	PA	AETNA PPO

General Provider Information

NPI Number	:	1184775389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHYSICIANS INC.

Provider Business Mailing Address
First Line	:	PO BOX 820933
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-0933
Country	:	US
Telephone Number	:	215-926-9000
Fax Number	:	215-226-8285

Provider Business Practice Location Address
First Line	:	6521 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2538
Country	:	US
Telephone Number	:	215-624-2303
Fax Number	:	215-624-2577

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LYNNIE SAVERING
Credential	:
Telephone Number	:	215-926-9015

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	02/01/2008

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Directions to “TEMPLE PHYSICIANS INC. ” Practice Location

Language	Start Address	Practice Location

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