Organization
TEMPLE UNIVERSITY OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY HELEN HENDRICKS M.D. (RESIDENT)
(215) 707-4998
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4998
Mailing address
130 E HARTWELL LN, PHILADELPHIA, PA 19118-3431
(215) 381-0546
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MT184750
PA
Other
Enumeration date
03/15/2007
Last updated
07/22/2008
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