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Temple Faculty Practice Plan, INC

Internal Medicine, Nephrology in Philadelphia, PA. Organization (NPI-2).

NPI number1003398967
StatusActive
Last updated in NPPESSep 6, 2018

Details

NPI
1003398967
Entity type
Organization (NPI-2)
Legal business name
Temple Faculty Practice Plan, INC
Organization subpart
No
Enumeration date
Sep 6, 2018
Last updated
Sep 6, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology––Yes

Other names

  • Temple Faculty Nephrology Associates (Doing Business As)

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Phone 215-707-4600 · Fax 215-707-9697

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Phone 215-707-4600 · Fax 215-707-9697

Authorized official

Tonya Woodard
Director Revenue Cycle
2157073911

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nephrology Physician providers in Philadelphia, PA

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