Temple University Of The Commonwealth System Of Higher Education
in Philadelphia, PA. Organization (NPI-2).
NPI number1003240474
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1003240474
- Entity type
- Organization (NPI-2)
- Legal business name
- Temple University Of The Commonwealth System Of Higher Education
- Organization subpart
- No
- Enumeration date
- Aug 21, 2013
- Last updated
- Jun 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | PA | Yes |
Other names
- Temple Rad Oncology Assoc (Doing Business As)
Practice location
3401 N Broad StPhiladelphia, PA 19140-5103
Phone 215-707-4233 · Fax 215-707-8062
Mailing address
2450 W Hunting Park AvePhiladelphia, PA 19129-1302
Phone 215-707-4233 · Fax 215-707-8062
Authorized official
Tonya Woodard
Credentialing/Manager
2157073911
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