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Organization

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Active
Other names
Temple Rad Oncology Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA WOODARD (CREDENTIALING/MANAGER)
(215) 707-3911
Entity
Organization

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4233
(215) 707-8062
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-4233
(215) 707-8062

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007780130707
PA
Enumeration date
08/21/2013
Last updated
06/15/2018
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