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Organization
TEMPLE PHYSICIAN INC.
Active
Organization
TEMPLE PHYSICIAN INC.
Active
Parent organization
TEMPLE PHYSICIANS INC.
Other names
Temple Diabetes Prevention Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC.
Authorized official
RICHARD VAUGHN (LEAD CRED SPECIALIST)
(215) 926-9019
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9927
(215) 226-8285
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-9019
(215) 226-8286
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
08/02/2019
Last updated
02/08/2022
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