Organization
TEMPLE PHYSICIANS INC
Active
Parent organization
TEMPLE PHYSICIANS INC
Other names
Jeanes Comprehensive Breast Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC
Authorized official
ERIC MANKIN MD (CEO)
(215) 926-9050
Entity
Organization
Contact information
Practice address
7604 CENTRAL AVE, PHILADELPHIA, PA 19111-2433
(215) 745-3400
(214) 745-7711
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID
PA
01
—
597586
MEDICARE GROUP TPI
PA
01
—
CD4829
RAIL ROAD MEDICARE TPI
PA
Enumeration date
11/07/2011
Last updated
11/10/2011
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