Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
Otolaryngology Associates PPP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G KUPP (CFO)
(215) 707-7551
Entity
Organization
Contact information
Practice address
3509 N BROAD ST, FL 6 TUCMC, PHILADELPHIA, PA 19140-4105
(215) 707-7300
Mailing address
3425 N CARLISLE ST, FL 2 HUDSON BLDG, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007780130696
—
PA
Enumeration date
10/06/2005
Last updated
08/22/2020
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