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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 Radiology Associates FW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
414 COMMERCE DR, FORT WASHINGTON, PA 19034-2618
(215) 641-2411
(215) 641-0637
Mailing address
2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 19129-1302
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130688
—
PA
Enumeration date
10/12/2005
Last updated
04/10/2012
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