Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Other names
Temple Faculty Radiology Texas
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET FERRARIE (MANAGER, PAYER CREDENTIALING)
(215) 707-2433
Entity
Organization
Contact information
Practice address
41922 N MILL DR, MAGNOLIA, TX 77354-1850
(215) 707-7237
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/21/2020
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