Organization
TEMPLE PHYSICIANS INC
Active
Parent organization
TEMPLE PHYSICIANS INC
Other names
JEANES FAMILY PRACTICE - MARA LEYZIN, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC
Authorized official
ERIC MANKIN MD (CHIEF EXECUTIVE OFFICER)
(215) 926-9050
Entity
Organization
Contact information
Practice address
8025 CASTOR AVE, PHILA, PA 19152-2733
(215) 745-9900
(215) 745-9902
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/18/2008
Last updated
09/30/2008
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