# TEMPLE UNIVERSITY OF THE COMMONWEALTH OF HIGHER EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Endrocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720076649
- **Authorized official:** MR. THOMAS G KUPP (CFO)
- **Authorized official phone:** (215) 707-7551

## Contact information

- **Practice address:** 3509 N BROAD ST, 5TH FL TUCMC, PHILADELPHIA, PA 19140-4105
- **Practice address phone:** (215) 707-6430
- **Practice address fax:** (215) 707-6443
- **Mailing address:** 3425 N CARLISLE ST, 2ND FL HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
- **Mailing address phone:** (215) 707-4739
- **Mailing address fax:** (215) 707-3677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007780130051 | — | PA |