Organization · Type 2 NPI

Temple University of the Commonwealth System of Higher Education

Neurological Surgery Physician · Philadelphia, PA

NPI number 1104814128 Active

Practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Call (215) 707-4105 Map

Fax (215) 707-3831

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

  • 7500 Central Ave, Philadelphia, PA 19111-2430 · (215) 707-7200
  • 1650 Huntingdon Pike, Meadowbrook, PA 19046-8004 · (215) 707-7200
  • 8815 Germantown Ave, Philadelphia, PA 19118-2722 · (215) 707-7200

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1104814128

Temple University of the Commonwealth System of Higher Education's National Provider Identifier is 1104814128, issued on Oct 13, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 15, 2018.