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Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Otolaryngology Associates PPP
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, FL 6 TUCMC, PHILADELPHIA, PA 19140-4105
(215) 707-7300
Mailing address
3425 N CARLISLE ST, FL 2 HUDSON BLDG, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/06/2005
Last updated
08/22/2020
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