Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Other names
Temple Faculty Opioid Center of Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET FERRARIE (SR MANAGER PAYER CREDENTIALING)
(215) 707-2433
Entity
Organization
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-1800
(215) 707-3644
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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