Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Organization
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Active
Other names
NJ Sports Medicine Temple
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY J CLARK (DIRECTOR, GOVERNMENT AND PAYER RELA)
(856) 596-0906
Entity
Organization
Contact information
Practice address
ROUTE 73 N, ONE GREENTREE CENTER, MARLTON, NJ 08053
(856) 596-0906
(856) 596-6918
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(856) 596-0609
(856) 596-6918
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6202403
—
NJ
Enumeration date
10/07/2005
Last updated
02/13/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up