Provider Demographics
NPI:1316098577
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 1:1364 E HUNTING PARK AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-4931
Practice Address - Country:US
Practice Address - Phone:215-289-3390
Practice Address - Fax:215-289-7072
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLE PHYSICIANS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-15
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
PA0756985057OtherIBC (KHPE & PC)
PA1961986OtherHIGHMARK BLUE SHIELD
PACD4829OtherRRM
PA15393OtherELDER HEALTH
PA5015295OtherAETNA PPO
PA0496481OtherAETNA HMO
PA17400OtherHEALTH PARTNERS SITE #
PA30009447OtherKEYSTONE MERCY
PACD4829OtherRRM
PA17400OtherHEALTH PARTNERS SITE #
PA597586Medicare ID - Type UnspecifiedGROUP#