Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Other names
Temple Faculty Critical Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (DIRECTOR REVENUE CYCLE)
(215) 707-5864
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-5867
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 707-5864
(215) 707-6867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
12/16/2024
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