MEDICARE: GEOFFREY W. TEMPLE FAMILY MEDICAL ASSOCIATES, P.C.

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	207Q00000X	Family Medicine Physician	OS0056861	PA
2	207R00000X	Internal Medicine Physician	OS007889L	PA
3	111N00000X	Chiropractor	DC002437L	PA
4	171100000X	Acupuncturist	AK000464L	PA
5	261QP2000X	Physical Therapy Clinic/Center	PT006669L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1210886	OTHER	PA	AETNA
2	26834090001	OTHER	PA	KEYSTONE HMO
3	GE1816837	OTHER	PA	HIGHMARK GROUP

General Provider Information

NPI Number	:	1871544494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEOFFREY W. TEMPLE FAMILY MEDICAL ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	2835 TYSON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1415
Country	:	US
Telephone Number	:	215-624-6162
Fax Number	:	215-624-2496

Provider Business Practice Location Address
First Line	:	2835 TYSON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1415
Country	:	US
Telephone Number	:	215-624-6162
Fax Number	:	215-624-2496

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEOFFREY W. TEMPLE
Credential	:	D.O.
Telephone Number	:	267-350-5556

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/11/2025

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