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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

NPI # 1619965712
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 10/12/2005
Last updated 06/15/2018 - About 8 years ago
Identifiers
PA Medicaid 1007780130684
PA Medicaid 1007780130783
PA Medicaid 1007780130785
PA Medicaid 1007780130786
PA Medicaid 1007780130830
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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