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Organization

TEMPLE FACULTY PRACTICE PLAN INC

Active
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Organization

TEMPLE FACULTY PRACTICE PLAN INC

Active
Other names
Temple Faculty General Internal 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
3322 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1800
(215) 707-3644
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-1800
(215) 707-3644

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—

Other

Enumeration date
09/06/2018
Last updated
08/20/2025
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