NPI 1083602908

Temple University of the Commonwealth of Higher Education

Organisation Dermatology Physician Philadelphia, PA

Practice location

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

Authorised official

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

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Pennsylvania →

Registry record

NPI: 1083602908
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.