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Organization

TEMPLE FACULTY PRACTICE PLAN, INC

Active
Other names
Temple Faculty Pulmonary 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) 707-5864
(215) 707-6867
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-5864
(215) 707-6867

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
09/10/2018
Last updated
12/16/2024
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