Organization
TEMPLE UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO LUIZAGA COCA (MEDICAL DOCTOR)
(215) 900-3815
Entity
Organization
Contact information
Practice address
8432 RIDGE AVE, PHILADELPHIA, PA 19128-2114
(215) 900-3815
Mailing address
8432 RIDGE AVE, PHILADELPHIA, PA 19128-2114
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
189910
PA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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