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Organization

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Active
Other names
Temple Broomall Ophthalmology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization

Contact information

Practice address
2000 SPROUL RD, MARPLE COMMONS, BROOMALL, PA 19008-3509
(610) 353-1936
Mailing address
3425 N CARLISLE ST, 2ND FL HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
10/05/2005
Last updated
08/22/2020
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