| Temple Physicians @ Pennypack | |
|
2726 Holme Ave Phila PA 19152-3011 | |
| (215) 335-0130 | |
| (215) 335-0653 |
| Full Name | Temple Physicians @ Pennypack |
|---|---|
| Speciality | Internal Medicine |
| Location | 2726 Holme Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Eric Mankin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2159269050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Physicians @ Pennypack 2726 Holme Ave Phila PA 19152-3011 Ph: (215) 335-0130 | Temple Physicians @ Pennypack 2726 Holme Ave Phila PA 19152-3011 Ph: (215) 335-0130 |
| NPI Number | 1639496391 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639496391 | NPI | - | NPPES |
| 597586 | Other | PA | MEDICARE GROUP |
| CD4829 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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