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39D0997153 CLIA NUMBER - TEMPLE PHYISICAN AT PALMER PARK

Laboratory Demographics

CLIA Number: 39D0997153

Facility Name: TEMPLE PHYISICAN AT PALMER PARK

Facility Address:
1741 FRANKFORD AVENUE SUITE 100
PHILADELPHIA, PA
ZIP 19125
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Facility Phone Number: 215 425-2424

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1669524286

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 39D0997153
LAB Type Physician Office
Facility Name TEMPLE PHYISICAN AT PALMER PARK
Street 1741 FRANKFORD AVENUE SUITE 100
City PHILADELPHIA
State PA
ZIP 19125
Phone 215 425-2424
CertificateType 4
CertificateEffectiveDate 3/7/2024
CertificateExpirationDate 3/6/2026
FacilityType Waiver

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