Nj Sports Medicine Temple

LBN: Temple University Of The Commonwealth System Of Higher Education
Nj Sports Medicine Temple is an health care organization with primary practice located at Route 73 N One Greentree Center, Marlton NJ 08053. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Temple University Of The Commonwealth System Of Higher Education can be contacted via phone (856) 596-0906, or through Clark, Tracey J via phone (856) 596-0906.

Contact Information

Primary practice address
Route 73 N One Greentree Center Marlton NJ 08053
Phone: (856) 596-0906
Fax: (856) 596-6918
Website:
Map and Directions
Authorized official contact:
Name: Clark, Tracey J
Phone: (856) 596-0906

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1932197563
LBN Legal business name Temple University Of The Commonwealth System Of Higher Education
DBA Doing business as Nj Sports Medicine Temple
Authorized official Clark, Tracey J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Feb 13th, 2017 - 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 1932197563 NPPES
New Jersey MEDICAID 6202403

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