Provider Demographics
NPI:1417372863
Name:TEMPLE UNIVERSITY PHYSICIANS
Entity Type:Organization
Organization Name:TEMPLE UNIVERSITY PHYSICIANS
Other - Org Name:TEMPLE LUNG CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT PROFESSOR OF MEDICINE
Authorized Official - Prefix:PROF
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENS
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-707-5874
Mailing Address - Street 1:3401 N BROAD ST
Mailing Address - Street 2:SUITE 710C
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5103
Mailing Address - Country:US
Mailing Address - Phone:215-707-5874
Mailing Address - Fax:
Practice Address - Street 1:3401 N BROAD ST
Practice Address - Street 2:SUITE 710C
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5103
Practice Address - Country:US
Practice Address - Phone:215-707-5874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE UNIVERSITY PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital