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Contact Information

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
3509 N BROAD ST
PHILADELPHIA, PA19140
 Phone: 215-707-8484
 Fax: 215-707-3945
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION · (Female)

NPI # 1619965712
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2005
Last updated 06/15/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 1007780130684
  • PA Medicaid 1007780130783
  • PA Medicaid 1007780130785
  • PA Medicaid 1007780130786
  • PA Medicaid 1007780130830
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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