Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Other names
Temple Faculty Surgery Critical Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (DIRECTOR REVENUE CYCLE)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-3945
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3133
(215) 707-3945
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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