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Organization
TEMPLE PHYSICIANS INC.
Active
Organization
TEMPLE PHYSICIANS INC.
Active
Parent organization
TEMPLE PHYSICIANS INC.
Other names
Jamestown Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC.
Authorized official
BRIDGET FERRARIE (SR. MANAGER PAYER CREDENTIALING)
(215) 707-2433
Entity
Organization
Contact information
Practice address
525 JAMESTOWN ST, SUITE 201, PHILADELPHIA, PA 19128-1751
(215) 214-2412
(215) 482-1251
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0287357
CIGNA CAP & PPO
PA
01
—
0470305
AETNA HMO
PA
01
—
0756985038
IBC (KHPE & PC)
PA
05
—
100727800
—
PA
01
—
1025793
KEYSTONE MERCY
PA
01
—
15332
ELDER HEALTH
PA
01
—
1961863
HIGHMARK BLUE SHIELD
PA
01
—
36547
HEALTH PARTNERS SITE #
PA
01
—
5977613
AETNA PPO
PA
01
—
CD4829
RRM
PA
Enumeration date
01/15/2007
Last updated
09/26/2024
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