Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Pediatric Anesthesiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
3509 N BROAD ST, 3RD FL TUCMC, PHILADELPHIA, PA 19140-4105
(215) 707-6109
(215) 707-6110
Mailing address
3425 N CARLISLE ST, 2ND FLOOR HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100780130483
—
PA
Enumeration date
10/13/2005
Last updated
08/22/2020
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