Provider Demographics
NPI:1134401268
Name:TEMPLE UNIVERSITY HOSPITAL
Entity type:Organization
Organization Name:TEMPLE UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGERY RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAZIMIERZ
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:KOMPERDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-707-2111
Mailing Address - Street 1:3509 N BROAD ST
Mailing Address - Street 2:ATTN. DAMIEN DISTEFANO - GME OFFICES
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4105
Mailing Address - Country:US
Mailing Address - Phone:215-707-2111
Mailing Address - Fax:
Practice Address - Street 1:3401 N BROAD ST
Practice Address - Street 2:ZONE C, 4TH FLOOR, SUITE 450
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5103
Practice Address - Country:US
Practice Address - Phone:215-707-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2013-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282NC0060X
PAMT199900282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access