Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
7604 CENTRAL AVE, PHILADELPHIA, PA 19111-2433
(215) 214-6655
(215) 214-6654
Mailing address
3425 N CARLISLE ST, 2ND FLOOR, HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130110
—
PA
Enumeration date
10/06/2005
Last updated
11/10/2008
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