Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Other names
Temple Faculty Neurology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET FERRARIE (SR. MANAGER PAYER CRED)
(215) 707-2433
Entity
Organization
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-6900
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3040
(215) 707-8235
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/08/2018
Last updated
02/27/2025
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