Organization
TEMPLE FACULTY PRACTICE PLAN, INC
Active
Other names
Temple Faculty Optometry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WOODARD (DIRECTOR REVENUE CYCLE)
(215) 707-3911
Entity
Organization
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3185
(215) 707-1684
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(210) 707-3185
(215) 707-1684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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