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39D0698646 CLIA NUMBER - TEMPLE INTERNAL MEDICINE - OLD BUSTLETON

Laboratory Demographics

CLIA Number: 39D0698646

Facility Name: TEMPLE INTERNAL MEDICINE - OLD BUSTLETON

Facility Address:
9331 OLD BUSTLETON AVE, SUITE 202
PHILADELPHIA, PA
ZIP 19115
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Facility Phone Number: 215 673-7070

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205245040

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 39D0698646
LAB Type Physician Office
Facility Name TEMPLE INTERNAL MEDICINE - OLD BUSTLETON
Street 9331 OLD BUSTLETON AVE, SUITE 202
City PHILADELPHIA
State PA
ZIP 19115
Phone 215 673-7070
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024