# TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Anesthesiology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447248562
- **Authorized official:** TONYA WOODARD (MANAGER, CREDENTIALING)
- **Authorized official phone:** (215) 707-3911

## Contact information

- **Practice address:** 3401 N BROAD ST, PHILADELPHIA, PA 19140
- **Practice address phone:** (215) 707-3326
- **Practice address fax:** (215) 707-8028
- **Mailing address:** 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
- **Mailing address phone:** (215) 707-3326
- **Mailing address fax:** (215) 707-8028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 06/05/2018