Organization
TPS IV OF PA, LLC
Active
Organization
TPS IV OF PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PO CHOU (DIRECTOR OF FINANCE AND OPERATIONS)
(215) 762-4798
Entity
Organization
Contact information
Practice address
245 N 15TH ST, MS 310, PHILA, PA 19102-1101
(215) 762-4312
(215) 762-8656
Mailing address
245 N 15TH ST, MS 310, PHILA, PA 19102-1101
(215) 762-4312
(215) 762-8656
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085B0100X
Body Imaging Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011365340001
—
PA
Enumeration date
05/03/2006
Last updated
09/11/2025
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