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Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Other names
Temple Faculty Family Medicine Peds Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET FERRARIE (MANGER CREDENTIALING)
(215) 707-2433
Entity
Organization
Contact information
Practice address
1316 W ONTARIO ST, PHILADELPHIA, PA 19140-5220
(215) 707-2400
(215) 707-4034
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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