Organization
TEMPLE PHYSICIANS INC
Active
Organization
TEMPLE PHYSICIANS INC
Active
Parent organization
TEMPLE PHYSICIANS I NC
Other names
TUH OB TRIAGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS I NC
Authorized official
ERIC MANKIN MD (CHIEF EXECUTIVE OFFICER)
(215) 926-9050
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, 3RD FL ROCK PAVILION, PHILADELPHIA, PA 19140-5103
(215) 926-9022
(215) 226-8286
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
597586
MEDICARE GROUP
PA
Enumeration date
06/25/2009
Last updated
06/25/2009
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