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	163WG0600X	Gerontology Registered Nurse
2	363LG0600X	Gerontology Nurse Practitioner
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

Medicare Identifiers

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

General Provider Information

NPI Number	:	1801026125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPLE PHYSICIANS INC

Provider Business Mailing Address
First Line	:	9331 OLD BUSTLETON AVE
Second Line	:	SUITE 100
City	:	PHILA
State	:	PA
Zip	:	19115-4204
Country	:	US
Telephone Number	:	215-671-0653
Fax Number	:	215-671-0970

Provider Business Practice Location Address
First Line	:	9331 OLD BUSTLETON AVE
Second Line	:	SUITE 100
City	:	PHILA
State	:	PA
Zip	:	19115-4204
Country	:	US
Telephone Number	:	215-671-0653
Fax Number	:	215-671-0970

Authorized Official
Title or Position	:	CEO
Name	:	ERIC MANKIN
Credential	:	MD
Telephone Number	:	215-926-9050

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	11/30/2010

Similar Medicare Providers

1609850239 — DEBRA LYNNE SOMERS MD
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 203
PHILA, PA
19115-4204

Practice Phone: 215-602-8900
Practice Fax: 215-602-8904

1558904383 — EMPIRE HEALTHCARE SYSTEMS
Practice Location Address:

1420 LOCUST STREET , SUITE #220
PHILA, PA
19102-4204

Practice Phone: 215-546-0100
Practice Fax: 215-546-7225

1093359739 — NEIL RICHARD ROMAN D.C
Practice Location Address:

1420 LOCUST STREET , SUITE #220
PHILA, PA
19102-4204

Practice Phone: 215-546-0100
Practice Fax: 215-546-7225

1285673319 — MITCHELL JASON MARDER D.O.
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 101
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-673-1520
Practice Fax: 215-673-1980

1790725703 — RAQUEL INNISS MD
Practice Location Address:

9331 OLD BUSTLETON AVE STE 201
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-602-8500
Practice Fax: 215-676-6507

1245247501 — GAIL T SULLIVAN MD
Practice Location Address:

9331 OLD BUSTLETON AVE , SUITE 203
PHILADELPHIA, PA
19115-4204

Practice Phone: 215-602-8900
Practice Fax: 215-602-8904

Directions to “TEMPLE PHYSICIANS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.