Provider Demographics
NPI:1801970322
Name:TEMPLETON, PAUL W (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 892
Mailing Address - Street 2:
Mailing Address - City:CONCORDVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19331-0892
Mailing Address - Country:US
Mailing Address - Phone:610-372-4957
Mailing Address - Fax:610-372-3117
Practice Address - Street 1:484 W. STATE STREET
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2554
Practice Address - Country:US
Practice Address - Phone:215-345-2290
Practice Address - Fax:215-345-2596
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0135052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME309250099Medicaid
MEF54087OtherHPHC
ME0005709031OtherAETNA/USHC
MEM83153OtherCIGNA
ME024278OtherANTHEM
PA102521592-0002Medicaid
ME2323447OtherAETNA
PAP00897057OtherRR MEDICARE
MEF54087OtherHPHC
MEMM4772Medicare ID - Type Unspecified
PAP00897057OtherRR MEDICARE
MEF54087Medicare UPIN
ME300062138Medicare ID - Type UnspecifiedRAILROAD