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Organization

TEMPLE FACULTY PRACTICE PLAN, INC

Active
Other names
Temple Faculty GYN/Oncology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA WOODARD (DIRECTOR REVENUE CYCLE)
(215) 707-3911
Entity
Organization

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3008
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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