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	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0022195002	OTHER	PA	IBC (KHPE & PC)
2	0813243	OTHER	PA	AETNA HMO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5987421	OTHER	PA	AETNA PPO
5	116665	OTHER	PA	HIGHMARK BLUE SHIELD
6	CD4829	OTHER	PA	RRM
7	1021523	OTHER	PA	KEYSTONE MERCY
8	27662	OTHER	PA	HEALTH PARTNERS SITE #

General Provider Information

NPI Number	:	1598817520
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	:	1300 W LEHIGH AVE
Second Line	:	SUITE B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-2760
Country	:	US
Telephone Number	:	215-226-8800
Fax Number	:	215-226-8819

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	02/09/2016

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Directions to “TEMPLE PHYSICIANS INC. ” Practice Location

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