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TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION NPI 1619965712


NPI Information

NPI: 1619965712
Provider Name: TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION

Doing Business As: TEMPLE VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3509 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-8484
Get Directions

TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION is a vascular surgery surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION NPI is 1619965712. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Temple Vascular Surgery.

The provider's business location address is:

3509 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-8484
Fax: (215) 707-3945

The provider's authorized official is Tonya Woodard .
The authorized official title is Credentialing/manager and has the following contact phone number (215) 707-3911.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 6/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007780130786MEDICAIDPENNSYLVANIA
21007780130830MEDICAIDPENNSYLVANIA
31007780130785MEDICAIDPENNSYLVANIA
41007780130783MEDICAIDPENNSYLVANIA
51007780130684MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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