# TEMPLE PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEMPLE PHYSICIANS INC
- **Other names:** JEANES FAMILY PRACTICE - MARA LEYZIN, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497904049
- **Legal business name:** TEMPLE PHYSICIANS INC
- **Authorized official:** ERIC MANKIN MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (215) 926-9050

## Contact information

- **Practice address:** 8025 CASTOR AVE, PHILA, PA 19152-2733
- **Practice address phone:** (215) 745-9900
- **Practice address fax:** (215) 745-9902
- **Mailing address:** PO BOX 820933, PHILA, PA 19182-0933
- **Mailing address phone:** (215) 926-9010
- **Mailing address fax:** (215) 226-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/18/2008
- **Last updated:** 09/30/2008