| Temple Faculty Oral Pathology Associates | |
|
3401 N Broad St Philadelphia PA 19140-5103 | |
| (215) 707-3449 | |
| (215) 707-2781 |
| Full Name | Temple Faculty Oral Pathology Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 3401 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tonya Woodard (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 2157073911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Faculty Oral Pathology Associates 2450 W Hunting Park Ave Philadelphia PA 19129-1302 Ph: (215) 707-3449 | Temple Faculty Oral Pathology Associates 3401 N Broad St Philadelphia PA 19140-5103 Ph: (215) 707-3449 |
| NPI Number | 1770066425 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770066425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
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