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Organization
TEMPLE PHYSICIANS INC.
Active
Organization
TEMPLE PHYSICIANS INC.
Active
Parent organization
TEMPLE PHYSICIANS INC.
Other names
Temple Internal Medicine Northeast, Temple Physicians at Red Lion Plaza
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC.
Authorized official
RICHARD VAUGHN (LEAD CRED SPECIALIST)
(215) 926-9019
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE STE 101, PHILADELPHIA, PA 19115-2138
(215) 676-2741
(215) 676-2796
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9000
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000201
AETNA HMO
PA
01
—
01927
HEALTH PARTNERS SITE #
PA
01
—
0756985039
IBC (KHPE & PC)
PA
05
—
100727800
—
PA
01
—
1961997
HIGHMARK BLUE SHIELD
PA
01
—
30033849
KEYSTONE MERCY
PA
01
—
5561583
AETNA PPO
PA
01
—
CD4829
RRM
PA
Enumeration date
01/17/2007
Last updated
05/02/2019
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