Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Radiology Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KUPP (CFO)
(215) 707-4739
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7237
(215) 707-9389
Mailing address
3425 N CARLISLE ST, 2ND FL HUDSON, PHILADELPHIA, PA 19140-5108
(215) 707-3911
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051639
PA
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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