Organization · Type 2 NPI

Temple University of the Commonwealth System of Higher Education

Vascular Surgery Physician · Philadelphia, PA

NPI number 1619965712 Active

Practice location

3509 N Broad St
Philadelphia, PA 19140

Call (215) 707-8484 Map

Fax (215) 707-3945

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Other practice locations

7500 Central Ave, Philadelphia, PA 19111-2430 · (215) 707-3133
1650 Huntingdon Pike, Meadowbrook, PA 19046-8004 · (215) 938-1660
515 Pennsylvania Ave, Fort Washington, PA 19034-3314 · (215) 707-3133
5800 Ridge Avenue, Philadelphia, PA 19128 · (267) 707-3133

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

276 other providers at this address

Other vascular surgery physician providers in Philadelphia

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NPI record

NPI: 1619965712
Entity type: Organization (Type 2)
Issued: Oct 12, 2005
Last updated: Jun 15, 2018
Status: Active

Other names

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Temple Vascular Surgery · doing business as
Temple Vascular Surgery · doing business as

Authorized official

Tonya Woodard
Credentialing/manager
(215) 707-3911

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619965712

Temple University of the Commonwealth System of Higher Education's National Provider Identifier is 1619965712, issued on Oct 12, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 15, 2018.