Temple Internal Medicine Associates Mic

LBN: Temple University Of The Commonwealth System Of Higher Education
Temple Internal Medicine Associates Mic is an health care organization with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Temple University Of The Commonwealth System Of Higher Education can be contacted via phone (215) 707-1622, or through Woodard, Tonya M via phone (215) 707-3911.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-1622
Fax: (215) 707-0943
Website:
Map and Directions
Authorized official contact:
Name: Woodard, Tonya M
Phone: (215) 707-3911

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Pennsylvania
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X Pennsylvania

Profile Details

NPI number 1730177585
LBN Legal business name Temple University Of The Commonwealth System Of Higher Education
DBA Doing business as Temple Internal Medicine Associates Mic
Authorized official Woodard, Tonya M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 15th, 2018 - about 7 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 1730177585 NPPES
Pennsylvania MEDICAID 1007780130728
Pennsylvania MEDICAID 1007780130729
Pennsylvania MEDICAID 1007780130726
Pennsylvania MEDICAID 1007780130740
Pennsylvania MEDICAID 1007780130105
Pennsylvania MEDICAID 1007780130734

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