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Organization

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Active
Other names
Temple Ob Gyn Associates
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA WOODARD (CREDENTIALING/MANAGER)
(215) 707-3911
Entity
Organization

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3008
(215) 707-1387

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007780130069
PA
05
1007780130764
PA
05
1007780130765
PA
05
1007780130766
PA
05
1007780130767
PA
05
1007780130768
PA
05
1007780130787
PA
05
1007780130788
PA
05
1007780130798
PA
05
1007780130832
PA
Enumeration date
10/13/2005
Last updated
06/15/2018
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