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Temple Faculty Practice Plan Inc — NPI 1376316711, Philadelphia, PA | NPI Central

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NPI 1376316711

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Temple Faculty Practice Plan Inc

NPI 1376316711 · Addiction Medicine (Internal Medicine) Physician · Philadelphia, PA

Provider details

NPI number: 1376316711
Entity type: Organization
Primary specialty: Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Bridget Ferrarie, Sr. Manager Payer Credentialing(215) 707-2433

Specialties & taxonomies

Addiction Medicine (Internal Medicine) PhysicianPrimary207RA0401X
Allopathic & Osteopathic Physicians
Medical Toxicology (Emergency Medicine) Physician207PT0002X
Allopathic & Osteopathic Physicians

Practice location

3401 N Broad St

Philadelphia, PA 19140-5103

Phone: (215) 707-2000

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

3500 N Broad St

Philadelphia, PA 19140-4106

Other names (DBA / former)

Former legal business name: Temple Faculty Addiction Medicine
Doing business as: Temple Faculty Addiction Medicine

Registry dates

Enumerated: 2023-11-06
Last updated: 2023-11-06
Certified: 2023-11-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.