Temple Dermatology

LBN: Temple University Of The Commonwealth Of Higher Education
Temple Dermatology is an health care organization with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Temple University Of The Commonwealth Of Higher Education can be contacted via phone (215) 707-6613, or through Kupp, Thomas G via phone (215) 707-7551.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Phone: (215) 707-6613
Fax: (215) 707-6629
Website:
Map and Directions
Authorized official contact:
Name: Kupp, Thomas G
Phone: (215) 707-7551

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1083602908
LBN Legal business name Temple University Of The Commonwealth Of Higher Education
DBA Doing business as Temple Dermatology
Authorized official Kupp, Thomas G
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083602908 NPPES
Pennsylvania MEDICAID 1000678893001

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