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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