Temple Physicians INC
Family Medicine, Adolescent Medicine in Phila, PA. Organization (NPI-2).
NPI number1497904049
StatusActive
Last updated in NPPESSep 30, 2008
Details
- NPI
- 1497904049
- Entity type
- Organization (NPI-2)
- Legal business name
- Temple Physicians INC
- Organization subpart
- Yes
- Enumeration date
- Sep 18, 2008
- Last updated
- Sep 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0000X | Family Medicine, Adolescent Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Jeanes Family Practice - Mara Leyzin, MD (Other Name)
Practice location
8025 Castor AvePhila, PA 19152-2733
Phone 215-745-9900 · Fax 215-745-9902
Mailing address
Po Box 820933Phila, PA 19182-0933
Phone 215-926-9010 · Fax 215-226-8285
Authorized official
Eric Mankin
Chief Executive Officer
2159269050
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