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Contact Information

TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA19140-5103
 Phone: 215-707-1622
 Fax: 215-707-0943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Medical Toxicology

2083T0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for TEMPLE FACULTY PRACTICE PLAN INC · (Female)

NPI # 1235611179
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2018
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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