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Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Other names
Temple Faculty Hematology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (DIRECTOR CYCLE REVENUE)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-6356
(215) 707-3825
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-6356
(215) 707-3825
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
NULL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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