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Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Other names
Temple Faculty Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (DIRECTOR REVENUE CYCLE)
(215) 707-3911
Entity
Organization
Contact information
Practice address
1316 W ONTARIO ST, PHILADELPHIA, PA 19140-5103
(215) 707-2400
(215) 707-4034
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/06/2018
Last updated
12/19/2023
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