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	207R00000X	Internal Medicine Physician
2	363A00000X	Physician Assistant
3	363L00000X	Nurse Practitioner
4	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	597586	OTHER	PA	MEDICARE GROUP
2	CD4829	OTHER	PA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1699070276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHYSICIANS INC

Provider Business Mailing Address
First Line	:	6410A RISING SUN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5229
Country	:	US
Telephone Number	:	215-342-6777
Fax Number	:	215-722-1259

Provider Business Practice Location Address
First Line	:	6410A RISING SUN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5229
Country	:	US
Telephone Number	:	215-342-6777
Fax Number	:	215-722-1259

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

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	02/09/2016

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Directions to “TEMPLE PHYSICIANS INC ” Practice Location

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