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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