# TEMPLE MEDICAL PRACTICE, P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700935442
- **Authorized official:** DEBBIE FUENTES (PRESIDENT)
- **Authorized official phone:** (781) 297-8875

## Contact information

- **Practice address:** 966 PARK ST, SUITE C2-1, STOUGHTON, MA 02072-3650
- **Practice address phone:** (781) 297-8872
- **Practice address fax:** (781) 297-8873
- **Mailing address:** 966 PARK ST, SUITE C2-1, STOUGHTON, MA 02072-3650
- **Mailing address phone:** (781) 297-8872
- **Mailing address fax:** (781) 297-8873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020