Organization · Type 2 NPI

Temple Faculty Practice Plan, Inc

Gynecologic Oncology Physician · Philadelphia, PA

NPI number 1063995710 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-3008 Map

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

7602 Central Ave, Philadelphia, PA 19111-2443 · (215) 745-8989
255 S 17th St, Philadelphia, PA 19103-6231 · (215) 707-3008
8815 Germantown Ave, Philadelphia, PA 19118-2722 · (215) 707-3008

Specialties and licenses

Taxonomy	Code	License
Gynecologic Oncology Physician Primary	207VX0201X	None listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

1,968 other providers at this address

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NPI record

NPI: 1063995710
Entity type: Organization (Type 2)
Issued: Sep 10, 2018
Last updated: Sep 10, 2018
Status: Active

Other names

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Temple Faculty Gyn/oncology Associates · doing business as
Temple Faculty Gyn/oncology Associates · doing business as

Authorized official

Tonya Woodard
Director Revenue Cycle
(215) 707-3911

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About NPI 1063995710

Temple Faculty Practice Plan, Inc's National Provider Identifier is 1063995710, issued on Sep 10, 2018. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 10, 2018.