Organization · Type 2 NPI

Temple University of the Commonwealth System of Higher Education

Medical Physician Assistant · Philadelphia, PA

NPI number 1326378050 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-7237 Map

Fax (215) 707-9389

Mailing address

3425 N Carlisle St, 2nd Fl Hudson
Philadelphia, PA 19140-5108

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA051639 (PA)

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About NPI 1326378050

Temple University of the Commonwealth System of Higher Education's National Provider Identifier is 1326378050, issued on Dec 31, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 31, 2009.