Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Radiology Associates FW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
414 COMMERCE DR, FORT WASHINGTON, PA 19034-2618
(215) 641-2411
(215) 641-0637
Mailing address
2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 19129-1302
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130688
—
PA
Enumeration date
10/12/2005
Last updated
04/10/2012
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