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Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH OF HIGHER EDUCATION
Active
Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH OF HIGHER EDUCATION
Active
Other names
Temple Endrocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
3509 N BROAD ST, 5TH FL TUCMC, PHILADELPHIA, PA 19140-4105
(215) 707-6430
(215) 707-6443
Mailing address
3425 N CARLISLE ST, 2ND FL HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130051
—
PA
Enumeration date
10/13/2005
Last updated
08/22/2020
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