Provider Demographics
NPI:1356638951
Name:TEMPLE HOSPITAL UNIVERSITY
Entity Type:Organization
Organization Name:TEMPLE HOSPITAL UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR OF IM
Authorized Official - Prefix:DR
Authorized Official - First Name:DARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1215-707-3379
Mailing Address - Street 1:150 E WYNNEWOOD RD
Mailing Address - Street 2:APT 2 F
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1547
Mailing Address - Country:US
Mailing Address - Phone:248-805-3556
Mailing Address - Fax:
Practice Address - Street 1:150 E WYNNEWOOD RD
Practice Address - Street 2:APT 2 F
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1547
Practice Address - Country:US
Practice Address - Phone:248-805-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT200123281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT200123Other0