Organization
TEMPLE PHYSICIANS INC
Active
Parent organization
TEMPLE PHYSICIANS INC
Other names
Northeastern Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE PHYSICIANS INC
Authorized official
WOODARD TONYA (DIRECTOR PAYER CREDENTIALING)
(215) 707-3911
Entity
Organization
Contact information
Practice address
11000 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3961
(215) 291-3777
(215) 291-3776
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-3777
(215) 926-3376
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007278000187
—
PA
01
—
CD4827
RAILROAD MEDICARE
PA
Enumeration date
08/08/2008
Last updated
11/24/2025
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