Organization
TEMPLE FACULTY PRACTICE PLAN INC
Active
Other names
Temple Faculty Geriatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (DIRECTOR CYCLE REVENUE)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3322 BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1800
(215) 707-3644
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-1800
(215) 707-3644
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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