Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Temple Pediatric Emergency Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GREGORY FLOOD MD (MEDICAL DIRECTOR)
(215) 707-6606
Entity
Organization
Contact information
Practice address
3509 N BROAD ST, TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER, PHILADELPHIA, PA 19140
(215) 707-6606
(215) 707-6629
Mailing address
PO BOX 820890, TEMPLE PEDIATRIC EMERGENCY MEDICAL ASSOCIATES, PHILADELPHIA, PA 19182-0890
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647502000
INDEPENDENCE BLUE CROSS
PA
05
—
1007780130283
—
PA
01
—
278955
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/06/2006
Last updated
08/22/2020
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