Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Other names
Temple Faculty Urogynecology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET FERRARIE (CREDENTIALING MANAGER)
(215) 707-2433
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3008
(215) 707-1387
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3008
(215) 707-1387
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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