Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (MANAGER, CREDENTIALING)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
PA
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
PA
207RI0011X
Interventional Cardiology Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130118
—
PA
05
—
1007780130727
—
PA
05
—
1007780130731
—
PA
05
—
1007780130736
—
PA
05
—
1007780130737
—
PA
Enumeration date
10/14/2005
Last updated
06/15/2018
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