Provider Demographics
NPI:1669524286
Name:TEMPLE PHYSICIANS INC.
Entity type:Organization
Organization Name:TEMPLE PHYSICIANS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:215-926-9000
Mailing Address - Fax:215-226-8285
Practice Address - Street 1:618 E GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3437
Practice Address - Country:US
Practice Address - Phone:215-426-5666
Practice Address - Fax:215-739-4222
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-16
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0756985062OtherIBC (KHPE & PC)
PA15404OtherELDER HEALTH
PA2776539OtherAETNA HMO
PA6038791OtherCIGNA CAP & PPO
PA12834OtherHEALTH PARTNERS SITE #
PA1961924OtherHIGHMARK BLUE SHIELD
PA30008493OtherKEYSTONE MERCY
PA7118349OtherAETNA PPO
PACD4829OtherRRM
PA597586Medicare ID - Type UnspecifiedGROUP
PA1961924OtherHIGHMARK BLUE SHIELD
PA2776539OtherAETNA HMO