MEDICARE: TEMPLE PHYSICIAN SERVICES 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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1235268335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHYSICIAN SERVICES 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	:	7602 CENTRAL AVE
Second Line	:	SUITE 201, FRONT
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2443
Country	:	US
Telephone Number	:	215-728-4291
Fax Number	:	215-214-4325

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	02/28/2008

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