| Temple Physicians @ Roosevelt Plaza | |
|
6557 Roosevelt Blvd Phila PA 19149-2918 | |
| (215) 535-1900 | |
| (215) 535-7950 |
| Full Name | Temple Physicians @ Roosevelt Plaza |
|---|---|
| Speciality | Family Medicine |
| Location | 6557 Roosevelt Blvd, Phila, Pennsylvania |
| Authorized Official Name and Position | Lynnie Savering (DIRECTOR OF PATIENT ACCOUNTING) |
| Authorized Official Contact | 2159269010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Physicians @ Roosevelt Plaza 6557 Roosevelt Blvd Phila PA 19149-2918 Ph: (215) 535-1900 | Temple Physicians @ Roosevelt Plaza 6557 Roosevelt Blvd Phila PA 19149-2918 Ph: (215) 535-1900 |
| NPI Number | 1417119520 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417119520 | NPI | - | NPPES |
| 597586 | Other | PA | MEDICARE GROUP |
| CD4829 | Other | PA | RAILROAD MEDICARE |
| 0591263 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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