National Provider Identifier Database

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


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
* Vascular Surgery 2086S0129X

* Indicates primary specialty

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

NPI Number 1619965712
Legal business name
LBN
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Authorized official TONYA WOODARD - (CREDENTIALING/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2005
Last updated 06/15/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1007780130684
  • PA Medicaid: 1007780130783
  • PA Medicaid: 1007780130785
  • PA Medicaid: 1007780130786
  • PA Medicaid: 1007780130830

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.

Reviews for TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

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