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Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Emergency Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (CREDENTIALING, MANAGER)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3401 N BROAD STREET, TEMPLE UNIVERSITY HOSPITAL, PHILADELPHIA, PA 19140
(215) 707-5030
(215) 707-3494
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-5030
(215) 707-3494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060265000
INDEPENDENCE BC
PA
05
—
1007780130275
—
PA
05
—
1007780130281
—
PA
05
—
1007780130282
—
PA
01
—
411562
HIGHMARK BS
PA
Enumeration date
03/24/2006
Last updated
06/15/2018
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