NPI 1003804022

Temple University of the Commonwealth System of Higher Education

Organisation Neurology Physician Philadelphia, PA

Practice location

Address: 3509 N Broad St Fl 6 East Tucmc, Philadelphia, PA 19140-4105
Phone: (215) 707-6613
Fax: (215) 707-6629
Mailing address: 3425 N Carlisle St Fl 2 Hudson Bldg, Philadelphia, PA 19140-5108

Authorised official

Name: Thomas G Kupp
Title: Cfo
Phone: (215) 707-7551

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Pennsylvania →

Registry record

NPI: 1003804022
Entity type: Organization
NPI issued: 13 Oct 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.