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Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Audiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (CREDENTIALING MANAGER)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-3663
(215) 707-7523
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3633
(215) 707-6417
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
NULL
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130704
—
PA
05
—
1007780130795
—
PA
05
—
1007780130796
—
PA
05
—
1007780130797
—
PA
Enumeration date
10/04/2010
Last updated
06/05/2018
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