| Temple Neurology Associates | |
|
3509 N Broad St Fl 6 East Tucmc Philadelphia PA 19140-4105 | |
| (215) 707-6613 | |
| (215) 707-6629 |
| Full Name | Temple Neurology Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3509 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Thomas G Kupp (CFO) |
| Authorized Official Contact | 2157077551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Neurology Associates 3425 N Carlisle St Fl 2 Hudson Bldg Philadelphia PA 19140-5108 Ph: (215) 707-4739 | Temple Neurology Associates 3509 N Broad St Fl 6 East Tucmc Philadelphia PA 19140-4105 Ph: (215) 707-6613 |
| NPI Number | 1003804022 |
|---|---|
| Provider Enumeration Date | 10/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003804022 | NPI | - | NPPES |
| 1007780130101 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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