Provider Demographics
NPI:1376695999
Name:TEMPLE PHYSICIANS INC.
Entity Type:Organization
Organization Name:TEMPLE PHYSICIANS INC.
Other - Org Name:TEMPLE PHYSICIANS AT NICETOWN
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-926-9015
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-926-9010
Mailing Address - Fax:215-226-8286
Practice Address - Street 1:4350 GERMANTOWN AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-1749
Practice Address - Country:US
Practice Address - Phone:215-324-0500
Practice Address - Fax:215-324-3767
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0756985035OtherIBC (KHPE & PC)
PA15333OtherELDER HEALTH
PA14231OtherHEALTH PARTNERS SITE #
PA30000598OtherKEYSTONE MERCY
PA1961940OtherHIGHMARK BLUE SHIELD
PA5939580OtherAETNA PPO
PA0544738OtherAETNA HMO
PACD4829OtherRRM
PA100727800Medicaid
PA30000598OtherKEYSTONE MERCY
PA14231OtherHEALTH PARTNERS SITE #
PA0544738OtherAETNA HMO