| Geoffrey W. Temple Family Medical Associates, P.c. | |
|
2835 Tyson Ave Philadelphia PA 19149-1415 | |
| (215) 624-6162 | |
| (215) 624-2496 |
| Full Name | Geoffrey W. Temple Family Medical Associates, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2835 Tyson Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Geoffrey W. Temple (PRESIDENT) |
| Authorized Official Contact | 2673505556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey W. Temple Family Medical Associates, P.c. 2835 Tyson Ave Philadelphia PA 19149-1415 Ph: (215) 624-6162 | Geoffrey W. Temple Family Medical Associates, P.c. 2835 Tyson Ave Philadelphia PA 19149-1415 Ph: (215) 624-6162 |
| NPI Number | 1871544494 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7517978638 |
|---|---|
| Medicare Enrollment ID | O20060605000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871544494 | NPI | - | NPPES |
| 1210886 | Other | PA | AETNA |
| 26834090001 | Other | PA | KEYSTONE HMO |
| GE1816837 | Other | PA | HIGHMARK GROUP |
| Provider Name | Ronald Gruzin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235180472 PECOS PAC ID: 9234140351 Enrollment ID: I20060605000103 |
| Provider Name | Geoffrey W Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336190032 PECOS PAC ID: 3870504996 Enrollment ID: I20060605000111 |
| Provider Name | Matthew J Sundquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740528322 PECOS PAC ID: 7012159742 Enrollment ID: I20180319001506 |
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