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Organization
TEMPLE PHYSICIANS INC
Active
Organization
TEMPLE PHYSICIANS INC
Active
Parent organization
TEMPLE PHYSICIANS INC
Other names
Temple Internal Medicine Old Bustleton
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC
Authorized official
LYNNIE SAVERING (DIRECTOR PATIENT ACCOUNTING)
(215) 926-9010
Entity
Organization
Contact information
Practice address
9331 OLD BUSTLETON AVE, SUITE 202, PHILADELPHIA, PA 19115-4204
(215) 673-7070
(215) 673-2828
Mailing address
9331 OLD BUSTLETON AVE, SUITE 202, PHILADELPHIA, PA 19115-4204
(215) 673-7070
(215) 673-2828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
TPI GROUP MEDICAID ID
PA
01
—
597586
TPI GROUP MEDICARE
PA
01
—
CD4829
RAILROAD MEDICARE GROUP
PA
Enumeration date
08/06/2014
Last updated
08/06/2014
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