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Contact Information

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
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
 

Hepatology

207RI0008X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

NPI # 1730177585
LBN Legal business name TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Authorized official TONYA WOODARD - (CREDENTIALING/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2005
Last updated 06/15/2018 - About 8 years ago
Identifiers
PA Medicaid 1007780130105
PA Medicaid 1007780130726
PA Medicaid 1007780130728
PA Medicaid 1007780130729
PA Medicaid 1007780130734
PA Medicaid 1007780130740
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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