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NPI Code Detail

MEDICARE: TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

MEDICARE: TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1912995424
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Provider Business Mailing Address
First Line : 2450 W HUNTING PARK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1302
Country : US
Telephone Number : 856-569-0906
Fax Number : 856-596-6918
Provider Business Practice Location Address
First Line : 2450 W HUNTING PARK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1302
Country : US
Telephone Number : 856-569-0906
Fax Number : 856-596-6918
Authorized Official
Title or Position : CFO
Name : MR. THOMAS G KUPP
Credential :
Telephone Number : 215-707-7551
Provider Enumeration Date : 10/10/2005
Last Update Date : 02/13/2017

Similar Medicare Providers

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Practice Location Address:
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1073717310 — TEMPLE PHYSICIANS INC
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Practice Fax:
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Practice Fax:

Directions to “TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION ” Practice Location

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