Temple University Of The Commonwealth System Of Higher Education

Specialty details in registry · Philadelphia, PA

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At a glance

3401 N Broad St, Philadelphia, PA 19140-5103

NPPES record updated Jun 15, 2018. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Additional reported practice locations

8815 Germantown Ave
Philadelphia, PA 191182722
Phone: 2157075864
Fax: 2157076867
Professional details: NPI, taxonomy & registry record
NPI1154639110
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207RC0200X
Enumeration date
Sep 23, 2010
Record updated
Jun 15, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

207RC0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-5864
Fax
(215) 707-6867
Mailing address
2450 W HUNTING PARK AVE

PHILADELPHIA, PA 191291302
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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