Temple Vascular Surgery

LBN: Temple University Of The Commonwealth System Of Higher Education
Temple Vascular Surgery is an health care organization with primary practice located at 3509 N Broad St , Philadelphia PA 19140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Temple University Of The Commonwealth System Of Higher Education can be contacted via phone (215) 707-8484, or through Woodard, Tonya via phone (215) 707-3911.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140
Fax: (215) 707-3945
Website:
Authorized official contact:
Name: Woodard, Tonya

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1619965712
LBN Legal business name Temple University Of The Commonwealth System Of Higher Education
DBA Doing business as Temple Vascular Surgery
Authorized official Woodard, Tonya
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Jun 15th, 2018 - about 6 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 1619965712 NPPES
Pennsylvania MEDICAID 1007780130785
Pennsylvania MEDICAID 1007780130786
Pennsylvania MEDICAID 1007780130830
Pennsylvania MEDICAID 1007780130684
Pennsylvania MEDICAID 1007780130783

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