# TEMPLE FACULTY PRACTICE PLAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Faculty Audiology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821570854
- **Authorized official:** TONYA WOODARD (DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (215) 707-3911

## Contact information

- **Practice address:** 3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
- **Practice address phone:** (215) 707-3663
- **Practice address fax:** (215) 707-6417
- **Mailing address:** 2450 W. HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
- **Mailing address phone:** (215) 707-3663
- **Mailing address fax:** (215) 707-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/06/2018