39D2128077 CLIA NUMBER - TEMPLE FACULTY PHYSICIANS

Laboratory Demographics

CLIA Number: 39D2128077

Facility Name: TEMPLE FACULTY PHYSICIANS

Facility Address:
515 PENNSYLVANIA AVENUE SUITE B, 2ND FLOOR
FORT WASHINGTON, PA
ZIP 19034
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Facility Phone Number: 215 540-1270

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811470271

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	39D2128077
LAB Type	Physician Office
Facility Name	TEMPLE FACULTY PHYSICIANS
Street	515 PENNSYLVANIA AVENUE SUITE B, 2ND FLOOR
City	FORT WASHINGTON
State	PA
ZIP	19034
Phone	215 540-1270
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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