# TEMPLE PHYSICIAN INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEMPLE PHYSICIANS INC.
- **Other names:** Temple Diabetes Prevention Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427603943
- **Legal business name:** TEMPLE PHYSICIANS INC.
- **Authorized official:** RICHARD VAUGHN (LEAD CRED SPECIALIST)
- **Authorized official phone:** (215) 926-9019

## Contact information

- **Practice address:** 3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
- **Practice address phone:** (215) 707-9927
- **Practice address fax:** (215) 226-8285
- **Mailing address:** 3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
- **Mailing address phone:** (215) 926-9019
- **Mailing address fax:** (215) 226-8286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 02/08/2022