OrganizationActive
Temple Faculty Practice Plan, Inc
NPI 1871067116 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Philadelphia, PA
Provider details
- NPI number
- 1871067116
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bridget Ferrarie, Credentialing Manager(215) 707-2433
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
Practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3008
Fax: (215) 707-1387
Approximate (ZIP-level) locationGet directions
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Other names (DBA / former)
- Doing business as
- Temple Faculty Urogynecology Associates
Additional practice locations (2)
- 7602 Central AvePhiladelphia, PA 19111-2443Phone: (215) 707-3008Fax: (215) 707-1387
- 255 S 17th StPhiladelphia, PA 19103-6231Phone: (215) 707-3008Fax: (215) 707-1387
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2019-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.