NPI 1174511273

Temple University of the Commonwealth System of Higher Education

Organisation Plastic Surgery Physician Philadelphia, PA

Practice location

Address: 3401 N Broad St, Philadelphia, PA 19140
Phone: (215) 707-3933
Fax: (215) 707-2531
Mailing address: 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302

Authorised official

Name: Tonya Woodard
Title: Manager, Credentialing
Phone: (215) 707-3911

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Pennsylvania →

Registry record

NPI: 1174511273
Entity type: Organization
NPI issued: 12 Oct 2005
Record last updated: 15 Jun 2018

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.