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Organization
TEMPLE PHYSICIAN INC.
Active
Organization
TEMPLE PHYSICIAN INC.
Active
Parent organization
TEMPLE PHYSICIANS INC.
Other names
Internal Medicine @ Jeanes - Loney Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC.
Authorized official
LYNNIE SAVERING (DIRECTOR)
(215) 926-9015
Entity
Organization
Contact information
Practice address
1600 LONEY ST, PHILADELPHIA, PA 19111-2935
(215) 742-1166
(215) 745-1333
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9000
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756985076
IBC (KHPE & PC)
PA
05
—
1007278000069
—
PA
01
—
1961930
HIGHMARK BLUE SHIELD
PA
01
—
30041229
KEYSTONE MERCY
PA
Enumeration date
05/07/2007
Last updated
03/12/2009
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