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Organization
TEMPLE PHYSICIANS INC
Active
Organization
TEMPLE PHYSICIANS INC
Active
Parent organization
TEMPLE PHYSICIANS INC
Other names
Temple Physicians @ Pennypack
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC
Authorized official
ERIC MANKIN MD (CHIEF EXECUTIVE OFFICER)
(215) 926-9050
Entity
Organization
Contact information
Practice address
2726 HOLME AVE, PHILA, PA 19152-3011
(215) 335-0130
(215) 335-0653
Mailing address
2726 HOLME AVE, PHILA, PA 19152-3011
(215) 335-0130
(215) 335-0653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
597586
MEDICARE GROUP
PA
01
—
CD4829
RR MEDICARE
PA
Enumeration date
04/21/2010
Last updated
04/26/2010
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