# TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

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

## Provider details

- **NPI number:** 1922097880
- **Authorized official:** MS. TONYA M WOODARD (CREDENTIALING/MANAGER)
- **Authorized official phone:** (215) 707-3911

## Contact information

- **Practice address:** 3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
- **Practice address phone:** (215) 707-4600
- **Practice address fax:** (215) 707-5599
- **Mailing address:** 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
- **Mailing address phone:** (215) 707-4600
- **Mailing address fax:** (215) 707-5599

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 06/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007780130049 | — | PA |
| 05 | — | 1007780130717 | — | PA |
| 05 | — | 1007780130720 | — | PA |
| 05 | — | 1007780130730 | — | PA |
| 05 | — | 1007780130739 | — | PA |