MEDICARE: TEMPLE PHYSICIANS INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	207R00000X	Internal Medicine Physician
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0756985073	OTHER	PA	IBC (KHPE & PC)
2	7981795	OTHER	PA	AETNA PPO
3	0094318	OTHER	PA	AETNA HMO
4	30029276	OTHER	PA	KEYSTONE MERCY
5	CD4829	OTHER	PA	RRM
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	36347	OTHER	PA	HEALTH PARTNERS (SITE #)
8	1961862	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1457403164
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	:	215-926-9010
Fax Number	:	215-226-8285

Provider Business Practice Location Address
First Line	:	2317 E WESTMORELAND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4529
Country	:	US
Telephone Number	:	215-291-3115
Fax Number	:	215-291-3000

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	03/17/2010

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Directions to “TEMPLE PHYSICIANS INC. ” Practice Location

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